Active NPI
Eugene Robert Creese
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1366907669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 3422 68TH Ave
Oakland, CA 94605-2122 - Phone
- (818) 919-5180
- NPI assigned
- Jan 31, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary | ||
| Drama Therapist | 101200000X |
Addresses
Primary practice location
3422 68TH Ave
Oakland, CA 94605-2122
Mailing address
3422 68TH Ave
Oakland, CA 94605-2122
Phone (818) 919-5180
Other names 1
- Geno Creese
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Colores Arts | Current | 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.
-
- Community/Behavioral Health Agency
- Sonoma, CA
- NPI 1851134852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1366907669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3422 68TH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052122",
"telephone_number": "818-919-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3422 68TH AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946052122",
"telephone_number": "818-919-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREESE",
"first_name": "EUGENE",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-31",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GENO",
"last_name": "CREESE",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jun 17, 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.