Individual provider Active NPI

Kameswari Jammalamadaka, MA

  • Marriage & Family Therapist
  • Pleasanton, CA
National Provider Identifier
1316097173
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT45662 Issued in CA
Practice address
1811 Santa Rita Road
Suite 106
Pleasanton, CA 94566
Phone
(925) 683-9925
Fax
(510) 763-9495
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMFT45662 CA
Marriage & Family Therapist 106H00000X LMFT45662 CA Primary

Addresses

Primary practice location

1811 Santa Rita Road
Suite 106
Pleasanton, CA 94566

Mailing address

3758 Grand Ave. #70
Oakland, CA 94610
Phone (925) 683-9925

Other practice location 1

1320 Willow Pass Rd Ste 600
Concord, CA 94520-5292
Phone (925) 683-9925

Other practice location 2

3700 Delta Fair Blvd Ste 201A
Antioch, CA 94509-4073
Phone (925) 683-9925

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LMFT45662CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Lucas Michael Rubino Family and Child Counseling Center Marriage & Family Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1316097173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3758 GRAND AVE. #70",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94610",
            "telephone_number": "925-683-9925",
            "fax_number": "510-763-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SANTA RITA ROAD",
            "address_2": "SUITE 106",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "94566",
            "telephone_number": "925-683-9925",
            "fax_number": "510-763-9495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 Willow Pass Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945205292",
            "country_code": "US",
            "telephone_number": "925-683-9925",
            "fax_number": "510-763-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Delta Fair Blvd Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945094073",
            "country_code": "US",
            "telephone_number": "925-683-9925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMMALAMADAKA",
        "first_name": "KAMESWARI",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT45662",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT45662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.