Individual provider Active NPI

John Charles Bieda Jr., LMFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1295904100
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
42387 Issued in CA
Practice address
2001 Addison St Ste 300
Berkeley, CA 94704-1165
Phone
(415) 254-8203
Fax
(833) 907-5066
NPI assigned
Feb 25, 2008
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 42387 CA Primary

Addresses

Primary practice location

2001 Addison St Ste 300
Berkeley, CA 94704-1165

Mailing address

2001 Addison St Ste 300
Berkeley, CA 94704-1165
Phone (415) 254-8207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250813002151 CA Practitioner - Marriage and Family Therapist 5698273407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1220 Diamond Way
Suite 240
Concord, CA 94520-5260

3154 Chaparral CT
Richmond, CA 94806-5735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa Mental Health Wellness Center Inc Marriage & Family Therapist CurrentSince Jul 14, 2025 Accepting new patients
Bay Area Therapy Group a Marriage Family Counseling Corp Marriage & Family Therapist CurrentSince May 27, 2025 Accepting new patients
Bay Area Therapy Group Marriage & Family Therapist Past Accepting new patients

Locations

3700 Delta Fair Blvd
Ste 201A
Antioch, CA 94509
Phone (415) 254-8203

1220 Diamond Way
Ste 240
Concord, CA 94520
Phone (415) 254-8203

1320 Willow Pass Rd
Ste 600
Concord, CA 94520
Phone (866) 227-7715

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1295904100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ADDISON ST STE 300",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041165",
            "telephone_number": "415-254-8207",
            "fax_number": "833-907-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ADDISON ST STE 300",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041165",
            "telephone_number": "415-254-8203",
            "fax_number": "833-907-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEDA",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "42387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.