Individual provider Active NPI

Megan Meredith

  • Mental Health Counselor
  • Oakland, CA
National Provider Identifier
1205494986
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10060 Issued in CA
Practice address
2744 E 11TH St Ste H1
Oakland, CA 94601-1443
Phone
(510) 621-9131
NPI assigned
May 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10060 CA Primary
Counselor 101Y00000X

Addresses

Primary practice location

2744 E 11TH St Ste H1
Oakland, CA 94601-1443

Mailing address

2744 E 11TH St Ste H1
Oakland, CA 94601-1443
Phone (510) 437-8950

Other practice location 1

900 Ship Pond Rd
Plymouth, MA 02360-1849
Phone (508) 224-8041

Other practice location 2

1 Frederick Abbott Way
Framingham, MA 01701-7992
Phone (508) 879-9800

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10060CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Beginnings CurrentSince Feb 23, 2025 Accepting new patients
Wayside Youth and Family Support Network Mental Health CurrentSince Jan 30, 2025 Accepting new patients

Locations

2744 E 11th St
Ste H1
Oakland, CA 94601
Phone (510) 437-8950

1 Frederick Abbott Way
Framingham, MA 01701
Phone (508) 270-1275

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.

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1205494986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 E 11TH ST STE H1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011443",
            "telephone_number": "510-437-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 E 11TH ST STE H1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011443",
            "telephone_number": "510-621-9131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Ship Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023601849",
            "country_code": "US",
            "telephone_number": "508-224-8041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Frederick Abbott Way",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017017992",
            "country_code": "US",
            "telephone_number": "508-879-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "10060",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.