Active NPI
Taneshia Branson
- Mental Health Counselor
- San Francisco, CA
National Provider Identifier
1255561239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C1780
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14688412 | Other | CAQH | |
| 00749-P | Other | NV | CREDENTIAL - LADC |
| C1780 | Other | NV | CREDENTIAL - 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00749-P | NV | MD | Addiction (Substance Use Disorder) Counselor |
| C1780 | NV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hyde Street Community Services, Inc | Past | 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.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1033278940
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.