Individual provider Active NPI

Taneshia Branson

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1255561239
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C1780 Issued in NV
Practice address
815 Hyde St
Ste. 100
San Francisco, CA 94109-5996
Phone
(415) 673-5700
NPI assigned
Jul 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00749-P NV
Mental Health Counselor 101YM0800X C1780 NV Primary

Addresses

Primary practice location

815 Hyde St
Ste. 100
San Francisco, CA 94109-5996

Mailing address

1515 E Reno Ave Unit C203
Las Vegas, NV 89119-2141
Phone (517) 614-0290

Other identifiers 3

IdentifierTypeStateIssuer
14688412OtherCAQH
00749-POtherNVCREDENTIAL - LADC
C1780OtherNVCREDENTIAL - CPC INTERN

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

LicenseStateTypeSpecialty
00749-PNVMDAddiction (Substance Use Disorder) Counselor
C1780NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hyde Street Community Services, Inc PastSince Nov 12, 2011 Accepting new patients

Organizations & group practices 1

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": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1255561239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E RENO AVE UNIT C203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192141",
            "telephone_number": "517-614-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 HYDE ST",
            "address_2": "STE. 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095996",
            "telephone_number": "415-673-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "TANESHIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00749-P",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "C1780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14688412",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CREDENTIAL - LADC",
            "identifier": "00749-P",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CREDENTIAL - CPC INTERN",
            "identifier": "C1780",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.