Active NPI
John Michael Bass
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1205043320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 89909
- Practice address
- 7200 Bancroft Ave Ste 125C
Oakland, CA 94605-2415 - Phone
- (510) 383-5074
- NPI assigned
- May 17, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 89909 | CA | Primary |
| Professional Counselor | 101YP2500X | 2679 | CO |
Addresses
Primary practice location
7200 Bancroft Ave Ste 125C
Oakland, CA 94605-2415
Mailing address
7200 Bancroft Ave Ste 125C
Oakland, CA 94605-2415
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 |
|---|---|---|---|
| 89909 | CA | MD | Mental Health Counselor |
| 2679 | CO | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karim Lotfy-Mohammed MD PC | Past | Accepting new patients | |
| Matters of the Heart Counseling Centers, a Marriage & Family Therapy Corproation | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Chico, CA
- NPI 1265173702
-
- Marriage & Family Therapist
- San Leandro, CA
- NPI 1194205799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1205043320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 BANCROFT AVE STE 125C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 BANCROFT AVE STE 125C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052415",
"telephone_number": "510-383-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "89909",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.