Healthcare Provider Details

I. General information

NPI: 1093683294
Provider Name (Legal Business Name): JASMINE RUTH KALOGIROU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 10/30/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 CROW CANYON PL STE 140
SAN RAMON CA
94583-1339
US

IV. Provider business mailing address

2245 HIDDEN LAKES CT
MARTINEZ CA
94553-5425
US

V. Phone/Fax

Practice location:
  • Phone: 925-725-1278
  • Fax:
Mailing address:
  • Phone: 925-725-1278
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number20040
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number156542
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: