Individual provider Active NPI

Anthony Peter Carpentieri, MFT

  • Mental Health Counselor
  • Berkeley, CA
National Provider Identifier
1376600403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC17743 Issued in CA
Practice address
2315 Prince St
Berkeley, CA 94705-1915
Phone
(510) 849-1626
NPI assigned
Jan 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC17743 CA Primary

Addresses

Primary practice location

2315 Prince St
Berkeley, CA 94705-1915

Mailing address

459 59TH St
Oakland, CA 94609-1503
Phone (510) 658-6485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 31, 2024 through Jan 31, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC17743CAMDMental Health Counselor
17743CAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376600403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 59TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091503",
            "telephone_number": "510-658-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 PRINCE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051915",
            "telephone_number": "510-849-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTIERI",
        "first_name": "ANTHONY",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC17743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.