Individual provider Active NPI

Annie Cheung, MS, PPS

  • School Counselor
  • Fremont, CA
National Provider Identifier
1124514179
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
230080839 Issued in CA
Practice address
5200 Valpey Park Ave
Fremont, CA 94538-3262
Phone
(510) 657-0344
NPI assigned
Jul 2, 2018
Reactivated
Nov 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
School Counselor 101YS0200X 230080839 CA Primary

Addresses

Primary practice location

5200 Valpey Park Ave
Fremont, CA 94538-3262

Mailing address

4396 Jessica Cir
Fremont, CA 94555-2102
Phone (510) 304-3436

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
230080839CAMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
City of Fremont PastSince Dec 29, 2024 Accepting new patients

Organizations & group practices 1

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1124514179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4396 JESSICA CIR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945552102",
            "telephone_number": "510-304-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 VALPEY PARK AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383262",
            "telephone_number": "510-657-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "ANNIE",
        "credential": "MS, PPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "deactivation_date": "2024-10-10",
        "reactivation_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "230080839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.