Active NPI
Cole Matthew Bienek, SUDCC
- Addiction (Substance Use Disorder) Counselor
- Berkeley, CA
National Provider Identifier
1033724034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 7482
- Practice address
- 1931 Center St
Berkeley, CA 94704-1105 - Phone
- (510) 666-9552
- NPI assigned
- Sep 15, 2020
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7482 | CA | Primary |
Addresses
Primary practice location
1931 Center St
Berkeley, CA 94704-1105
Mailing address
890 Hayes St
San Francisco, CA 94117-2615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00 | Other | 00 |
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 |
|---|---|---|---|
| 7482 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1033724034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 HAYES ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 CENTER ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041105",
"telephone_number": "510-666-9552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIENEK",
"first_name": "COLE",
"middle_name": "MATTHEW",
"credential": "SUDCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "7482",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "00",
"identifier": "00",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.