Active NPI
Anthony Peter Carpentieri, MFT
- Mental Health Counselor
- Berkeley, CA
National Provider Identifier
1376600403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC17743
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC17743 | CA | MD | Mental Health Counselor |
| 17743 | CA | MD | Psychiatric/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
- Carolyn B Klebanoff MD Julie a Omelveny MD a Professional Corp.
- Karen Carothers, MD
- Julia Carpenter, LAC
- Shannan Carpenter
- William L Carpenter
- Dana Carr, PSYD
- Kaiulani Rosemary Jane Carreiro, MEDICAL ASSISTANT
- Carrie Katz, Licensed Marriage and Family Therapist, Inc.
- Ricardo Carrillo, PHD
- Madeline Carrington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.