Individual provider Active NPI

Alex Weinstein

  • Counselor
  • Berkeley, CA
National Provider Identifier
1013538487
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
800 San Luis Rd
Berkeley, CA 94707-2053
Phone
(617) 947-7071
NPI assigned
Apr 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Counselor 101Y00000X Primary

Addresses

Primary practice location

800 San Luis Rd
Berkeley, CA 94707-2053

Mailing address

800 San Luis Rd
Berkeley, CA 94707-2053
Phone (617) 947-7071

Other practice location 1

4264 Norton Ave
Oakland, CA 94602-4018
Phone (617) 947-7071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218001963 CA Practitioner - Marriage and Family Therapist 4284161027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Masonic Homes of CaliforniaGroup PAC ID 4183625361, 7 clinicians

Practice addresses (Care Compare)

34400 Mission Blvd
Union City, CA 94587-3604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Masonic Homes of California CurrentSince Oct 29, 2024 Accepting new patients
Masonic Homes of California CurrentSince Oct 29, 2024 Accepting new patients
Masonic Homes of California Past Accepting new patients

Locations

1111 California St
San Francisco, CA 94108

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1013538487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAN LUIS RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072053",
            "telephone_number": "617-947-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAN LUIS RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072053",
            "telephone_number": "617-947-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4264 Norton Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946024018",
            "country_code": "US",
            "telephone_number": "617-947-7071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.