Active NPI
James Kaufman, MFT INTERN
- Mental Health Counselor
- Oakland, CA
National Provider Identifier
1003169129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 68195
- Practice address
- 560 Oakland Ave
Ste C
Oakland, CA 94611-5471 - Phone
- (415) 786-1537
- Fax
- (208) 361-2286
- NPI assigned
- Oct 26, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 68195 | CA | Primary |
Addresses
Primary practice location
560 Oakland Ave
Ste C
Oakland, CA 94611-5471
Mailing address
560 Oakland Ave
Ste C
Oakland, CA 94611-5471
Phone (415) 786-1537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68195 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1003169129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 OAKLAND AVE",
"address_2": "STE C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115471",
"telephone_number": "415-786-1537",
"fax_number": "208-361-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 OAKLAND AVE",
"address_2": "STE C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115471",
"telephone_number": "415-786-1537",
"fax_number": "208-361-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MFT INTERN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "68195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.