Organization Active NPI

Bayside Counseling and Consulting a Licensed Clinical Social Worker

Doing business as Bayside Counseling and Consulting

  • Clinical Social Worker
  • Pleasant Hill, CA
National Provider Identifier
1063285278
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BAYSIDE COUNSELING AND CONSULTING A LICENSED CLINICAL SOCIAL WORKER
Doing business as
Bayside Counseling and Consulting
Practice address
200 Gregory LN Ste C202
Pleasant Hill, CA 94523-3353
Phone
(510) 892-2892
Fax
(510) 721-6710
NPI assigned
Oct 31, 2023
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Moushumi Sen, LCSWNPI 1013277219
Title
Owner
Phone
(510) 892-2892

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

200 Gregory LN Ste C202
Pleasant Hill, CA 94523-3353

Mailing address

200 Gregory LN Ste C202
Pleasant Hill, CA 94523-3353
Phone (510) 892-2892

Other names 1

  • Bayside Counseling and Consulting Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260206003523 CA Part B Supplier - Clinic/Group Practice 0941747083 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasant Hill, CA

National Provider Directory

National Provider Directory

Locations

1611 Sycamore Ave
Unit 5061
Hercules, CA 94547

200 Gregory Ln
Ste C202
Pleasant Hill, CA 94523
Phone (510) 892-2892

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1063285278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GREGORY LN STE C202",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233353",
            "telephone_number": "510-892-2892",
            "fax_number": "510-721-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GREGORY LN STE C202",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233353",
            "telephone_number": "510-892-2892",
            "fax_number": "510-721-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE COUNSELING AND CONSULTING A LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "SEN",
        "authorized_official_first_name": "MOUSHUMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-892-2892",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.