Active NPI
Eleanor Ruth Wohlfeiler, LMFT
- Marriage & Family Therapist
- Concord, CA
National Provider Identifier
1154816387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 128735
- Practice address
- 2151 Salvio Street Suite 301
Concord, CA 94520 - Phone
- (925) 671-0777
- NPI assigned
- Jun 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 128735 | CA | Primary |
Addresses
Primary practice location
2151 Salvio Street Suite 301
Concord, CA 94520
Mailing address
PO Box 2481
Berkeley, CA 94702-0481
Other practice location 1
1475 Powell St Ste 205
Emeryville, CA 94608-2182
Phone (510) 551-9121
Other practice location 2
1000 San Leandro Blvd Ste 300
San Leandro, CA 94577-1675
Phone (510) 595-7147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1154816387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2481",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947020481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2151 SALVIO STREET SUITE 301",
"city": "CONCORD",
"state": "CA",
"postal_code": "94520",
"telephone_number": "925-671-0777"
}
],
"practiceLocations": [
{
"address_1": "1475 Powell St Ste 205",
"address_purpose": "LOCATION",
"city": "Emeryville",
"state": "CA",
"postal_code": "946082182",
"country_code": "US",
"telephone_number": "510-551-9121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 San Leandro Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945771675",
"country_code": "US",
"telephone_number": "510-595-7147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOHLFEILER",
"first_name": "ELEANOR",
"middle_name": "RUTH",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-29",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "128735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.