Organization Active NPI

Ms Bev Addiction Counseling and Consulting Services

  • Case Management Agency
  • Oakland, CA
National Provider Identifier
1295042182
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
03-068218 Issued in CA
Legal business name
MS BEV ADDICTION COUNSELING AND CONSULTING SERVICES
Practice address
6020 Old Quarry Loop
Oakland, CA 94605-3306
Phone
(510) 569-9555
Fax
(510) 569-9555
NPI assigned
Sep 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Ms. Beverly Diane Tilson, LCI2361214
Title
Ceo/Director
Phone
(510) 569-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 03-068218 CA Primary

Addresses

Primary practice location

6020 Old Quarry Loop
Oakland, CA 94605-3306

Mailing address

PO Box 18665
Oakland, CA 94619-0665
Phone (510) 569-9555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1295042182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18665",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946190665",
            "telephone_number": "510-569-9555",
            "fax_number": "510-569-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 OLD QUARRY LOOP",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946053306",
            "telephone_number": "510-569-9555",
            "fax_number": "510-569-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS BEV ADDICTION COUNSELING AND CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "TILSON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "510-569-9555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCI2361214"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "03-068218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.