SHIRLEY AILSWORTH
NPI 1215215173
Marriage & Family Therapist in San Francisco, CA

Q: What is Shirley Ailsworth's NPI number?

The NPI number for Shirley Ailsworth is 1215215173. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Q: What is Shirley Ailsworth's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Shirley Ailsworth enrolled in Medicare?

No. Shirley Ailsworth has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Shirley Ailsworth was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2011Opted out of Medicare · through Jan 1, 2028

1360 MISSION ST FL 2, SAN FRANCISCO, CA 94103(682) 217-7762 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2024, Jun 16, 2020, Dec 31, 2018 and 3 more (6 updates tracked since 2016).

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About Shirley Ailsworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY AILSWORTH (NPI 1215215173) is an individual marriage & family therapist in San Francisco, California and active in the NPI registry since July 2011. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1215215173

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSHIRLEY AILSWORTH

Location Address1360 MISSION ST FL 2San Francisco, CA 94103-2647

Mailing AddressPo Box 880682San Francisco, CA 94188-0682

Phone(682) 217-7762

Sole ProprietorNo

Enumeration DateJuly 26, 2011

Last NPPES UpdateFebruary 6, 20246 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2024

✔ NPI 1215215173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1360 MISSION ST FL 2, San Francisco, CA 94103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Shirley Ailsworth has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEXIN QIAN

Technician, Other