Organization Active NPI

Umoja Counseling and Consulting Services, Karen J. Benjamin LCSW, Inc.

  • Mental Health Counselor
  • Pinole, CA
National Provider Identifier
1245672013
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS 25628 Issued in CA
Legal business name
UMOJA COUNSELING AND CONSULTING SERVICES, KAREN J. BENJAMIN LCSW, INC.
Practice address
2643 Appian Way
Suite E
Pinole, CA 94564-2263
Phone
(510) 669-1798
Fax
(510) 669-1798
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Karen Joanne Benjamin, LCSWNPI 1598993966
Title
Chief Executive Officer
Phone
(510) 669-1798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LCS 25628 CA Primary

Addresses

Primary practice location

2643 Appian Way
Suite E
Pinole, CA 94564-2263

Mailing address

2643 Appian Way
Suite E
Pinole, CA 94564-2263
Phone (510) 669-1798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140915001035 CA Part B Supplier - Clinic/Group Practice 8022237668 Receives reassigned benefits from 1 practitioner
Practice locations: Pinole, CA

National Provider Directory

National Provider Directory

Locations

2643 Appian Way
Ste E
Pinole, CA 94564
Phone (510) 545-9727

2643 Appian Way
Pinole, CA 94564
Phone (510) 222-8942

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1245672013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 APPIAN WAY",
            "address_2": "SUITE E",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642263",
            "telephone_number": "510-669-1798",
            "fax_number": "510-669-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 APPIAN WAY",
            "address_2": "SUITE E",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642263",
            "telephone_number": "510-669-1798",
            "fax_number": "510-669-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMOJA COUNSELING AND CONSULTING SERVICES, KAREN J. BENJAMIN LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "510-669-1798",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 25628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.