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3RD STREET YOUTH CENTER & CLINIC
NPI 1912504929
Counselor - Mental Health in San Francisco, CA

Active since October 02, 2020
1728 BANCROFT AVE, SAN FRANCISCO, CA 94124(415) 877-1707(415) 822-1723 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 3rd Street Youth Center & Clinic NPPES

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

3RD STREET YOUTH CENTER & CLINIC (NPI 1912504929) is a healthcare organization registered as a mental health in San Francisco, California and active in the NPI registry since October 2020. The organization lists Joi Jackson-morgan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912504929
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business Name3RD STREET YOUTH CENTER & CLINIC
Location Address1728 BANCROFT AVESan Francisco, CA 94124-2697
Mailing Address1728 Bancroft AveSan Francisco, CA 94124-2697 · (415) 877-1707 · Fax (415) 822-1723
Phone(415) 877-1707
Fax(415) 822-1723
Organization SubpartNo
Authorized OfficialJoi Jackson-morganExecutive Director · (415) 877-1707
Enumeration DateOctober 2, 2020
NPPES CertifiedOctober 2, 2020
✔ NPI 1912504929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
1728 BANCROFT AVE, San Francisco, CA 94124
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

RONNISHIA JOHNSON-HASAN LCSW
Social Worker (Clinical)
1728 BANCROFT AVE
SAN FRANCISCO, CA 94124
San Francisco County (415) 822-1707
GREGORY PATRICK ARAGON-FARRON
Community Health Worker
1728 BANCROFT AVE
SAN FRANCISCO, CA 94124
San Francisco County (415) 822-1707
AVA MOHTASHEMI
Counselor
1728 BANCROFT AVE
SAN FRANCISCO, CA 94124
San Francisco County (415) 279-0005
FEVEN ANDY
Community Health Worker
1728 BANCROFT AVE
SAN FRANCISCO, CA 94124
San Francisco County (415) 696-3311
CITY & COUNTY OF SAN FRANCISCO
Clinic/Center
1728 BANCROFT AVE
SAN FRANCISCO, CA 94124
San Francisco County (415) 822-1707
LAMARRIA COLEMAN
Social Worker (Clinical)
1728 BANCROFT AVE
SAN FRANCISCO, CA 94124
San Francisco County (415) 822-1707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 3rd Street Youth Center & Clinic's NPI number?

The NPI number for 3rd Street Youth Center & Clinic is 1912504929. It was assigned to this organization in the NPPES registry on October 2, 2020.

Where is 3rd Street Youth Center & Clinic located?

3rd Street Youth Center & Clinic is located at 1728 Bancroft Ave, San Francisco, CA 94124. The listed phone number is (415) 877-1707.

What is 3rd Street Youth Center & Clinic's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for 3rd Street Youth Center & Clinic was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.