Individual provider Active NPI

Andrea Makunje, MFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1376754960
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49138 Issued in CA
Practice address
401 Roland Way Ste 150
Oakland, CA 94621-2027
Phone
(510) 839-3800
Fax
(510) 839-3888
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 49138 CA Primary

Addresses

Primary practice location

401 Roland Way Ste 150
Oakland, CA 94621-2027

Mailing address

401 Roland Way Ste 150
Oakland, CA 94621-2027
Phone (510) 839-3800

Other names 1

  • Andrea Chirwa Former name

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

OrganizationSpecialtyStatusNew patients
Alternative Family Services, Inc. PastSince Jul 23, 2023 Accepting new patients
Family Paths, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1376754960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROLAND WAY STE 150",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212027",
            "telephone_number": "510-839-3800",
            "fax_number": "510-839-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ROLAND WAY STE 150",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946212027",
            "telephone_number": "510-839-3800",
            "fax_number": "510-839-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKUNJE",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CHIRWA",
            "code": "1",
            "type": "Former 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 Jul 17, 2023; 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.