Jasper Bear, INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

150436 Issued in CA

Practice address

1820 Scenic Ave
Berkeley, CA 94709-1395

Phone

(510) 206-6870

NPI assigned

Sep 15, 2023

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Bridge Foundation

  • Substance Abuse Rehabilitation Facility
  • Berkeley, CA
  • NPI 1750392353
  NPD (past)

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1245018852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SHATTUCK AVE",
            "address_2": "P.O. BOX 3275",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092031",
            "telephone_number": "510-206-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SCENIC AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091395",
            "telephone_number": "510-206-6870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1816 Scenic Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "94709",
            "country_code": "US",
            "telephone_number": "510-548-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAR",
        "first_name": "JASPER",
        "credential": "INTERN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayer Reference Testing Laboratory
• Bayhealth Berkeley Surgery Center, LLC (Berkeley Surgery Center)
• Micheline Beam, PHD
• Dianna Beamon
• Laroy Beamon
• Jasmine Nicole Beard
• Leona Beasley, M.A., M.F.A.
• Margot T Beattie
• Christopher William Beatty, OTR
• Catherine Ann Beauchamp, PHARM.D.

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, 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 Oct 14, 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.