Rebecca Celia Pele

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

117520 Issued in CA

Practice address

516 Oakland Ave Ste 203
Oakland, CA 94611-5429

Phone

(510) 463-4123

NPI assigned

Dec 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 28, 2024 through Oct 28, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Axis Mundi Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oakland, CA
  • NPI 1396482444
  NPD

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1114564796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53379",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951530379",
            "telephone_number": "669-244-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 OAKLAND AVE STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115429",
            "telephone_number": "510-463-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELE",
        "first_name": "REBECCA",
        "middle_name": "CELIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "117520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott R Peerenboom, D.O.
• Peers Envisioning and Engaging in Recovery Services
• Jerolyn Peery, MA, PSYCHOLOGY
• Peggy Shultz Physical Therapy, Inc.
• Valentina Pejuhesh, MFT INTERN
• Ronni Pelley
• Alex Joseph Pelliccione
• Nico Pemantle
• Elizabeth Pena Sanchez
• Axel Pena

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.