Active NPI
Ms Bev Addiction Counseling and Consulting Services
- Case Management Agency
- Oakland, CA
National Provider Identifier
1295042182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 03-068218
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.