Individual provider Active NPI

Channing Elizabeth Richmond

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1366996993
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
120007 Issued in CA
Practice address
2919 Telegraph Ave Apt 216
Oakland, CA 94609-3575
Phone
(510) 604-5217
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 120007 CA Primary

Addresses

Primary practice location

2919 Telegraph Ave Apt 216
Oakland, CA 94609-3575

Mailing address

2919 Telegraph Ave Apt 216
Oakland, CA 94609-3575
Phone (510) 604-5217

Other practice location 1

3282 Adeline St
Berkeley, CA 94703-2439
Phone (510) 981-5280

Other practice location 2

1266 14th St
Oakland, CA 94607-2205
Phone (510) 273-4700

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
120007CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366996993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 TELEGRAPH AVE APT 216",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093575",
            "telephone_number": "510-604-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 TELEGRAPH AVE APT 216",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093575",
            "telephone_number": "510-604-5217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3282 Adeline St",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947032439",
            "country_code": "US",
            "telephone_number": "510-981-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1266 14th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946072205",
            "country_code": "US",
            "telephone_number": "510-273-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "CHANNING",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120007",
            "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 Jul 21, 2022; 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.