Active NPI
Susanne Renee O'Leary, M.S.
- Professional Counselor
- San Leandro, CA
National Provider Identifier
1366967473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20947
- Practice address
- 777 Davis St Ste 300
San Leandro, CA 94577-6923 - Phone
- (510) 241-7191
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7336 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 7336 | CA | |
| Professional Counselor | 101YP2500X | 20947 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
777 Davis St Ste 300
San Leandro, CA 94577-6923
Mailing address
777 Davis St Ste 300
San Leandro, CA 94577-6923
Phone (510) 241-7191
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7336 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Family Services, Inc. | Past | Accepting new patients | |
| Alternative Family Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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
- Pleasanton, CA
- NPI 1619275435
-
- Community/Behavioral Health Agency
- Pleasanton, CA
- NPI 1730390162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1366967473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 DAVIS ST STE 300",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945776923",
"telephone_number": "510-241-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 DAVIS ST STE 300",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945776923",
"telephone_number": "510-241-7191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'LEARY",
"first_name": "SUSANNE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "7336",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "7336",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "20947",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.