Individual provider Active NPI

Bernadette Jeanne Stafford-Yaeger, CADC-I

  • Addiction (Substance Use Disorder) Counselor
  • Berkeley, CA
National Provider Identifier
1346809704
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CI34750122 Issued in CA
Practice address
2323 Hearst Ave
Berkeley, CA 94709
Phone
(510) 526-6200
Fax
(510) 526-1507
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CI34750122 CA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X B00004400126 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X R1344330419 CA

Addresses

Primary practice location

2323 Hearst Ave
Berkeley, CA 94709

Mailing address

2323 Hearst Ave
Berkeley, CA 94709-1319
Phone (510) 219-2837

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

LicenseStateTypeSpecialty
B00004400126CAMDAddiction (Substance Use Disorder) Counselor
CI34750122CAMDAddiction (Substance Use Disorder) Counselor
R1344330419CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1346809704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 HEARST AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091319",
            "telephone_number": "510-219-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 HEARST AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94709",
            "telephone_number": "510-526-6200",
            "fax_number": "510-526-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD-YAEGER",
        "first_name": "BERNADETTE",
        "middle_name": "JEANNE",
        "credential": "CADC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI34750122",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "B00004400126",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1344330419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.