Individual provider Active NPI

Constance Bravos-Williams

  • Marriage & Family Therapist
  • Concord, CA
National Provider Identifier
1003153768
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1607 Issued in OR
Practice address
1850 Gateway Blvd Ste 900
Concord, CA 94520-8418
Phone
(925) 825-4700
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T1607 OR Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1850 Gateway Blvd Ste 900
Concord, CA 94520-8418

Mailing address

1850 Gateway Blvd Ste 900
Concord, CA 94520-8418
Phone (925) 825-4700

Other names 1

  • Constance Bravos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 6, 2024 through Dec 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1003153768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 GATEWAY BLVD STE 900",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945208418",
            "telephone_number": "925-825-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 GATEWAY BLVD STE 900",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945208418",
            "telephone_number": "925-825-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVOS-WILLIAMS",
        "first_name": "CONSTANCE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1607",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "BRAVOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.