Active NPI
Forward Ethos Counseling, PC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oakland, CA
National Provider Identifier
1346823309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- FORWARD ETHOS COUNSELING, PC
- Practice address
- 2940 Summit St Ste 2C
Oakland, CA 94609-3416 - Phone
- (916) 382-2733
- NPI assigned
- Apr 28, 2021
- 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
- Estepha Francisque, LCSW
- Title
- Owner
- Phone
- (916) 382-2733
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2940 Summit St Ste 2C
Oakland, CA 94609-3416
Mailing address
1266 Tracy Cir
Vallejo, CA 94591-8585
Phone (515) 777-6059
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Oakland, CA
- NPI 1801268719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619568000000",
"number": "1346823309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1266 TRACY CIR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918585",
"telephone_number": "515-777-6059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 SUMMIT ST STE 2C",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093416",
"telephone_number": "916-382-2733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORWARD ETHOS COUNSELING, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A",
"authorized_official_last_name": "FRANCISQUE",
"authorized_official_first_name": "ESTEPHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-382-2733",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"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 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.