Organization Active NPI

Pinnacle Mental Wellness Group, a Family Counseling Community, Inc.

  • Marriage & Family Therapist
  • Pittsburg, CA
National Provider Identifier
1386151702
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
34080 Issued in CA
Legal business name
PINNACLE MENTAL WELLNESS GROUP, A FAMILY COUNSELING COMMUNITY, INC.
Practice address
130 E Leland Rd
Pittsburg, CA 94565-4983
Phone
(925) 384-3997
Fax
(925) 252-1618
NPI assigned
Jan 8, 2018
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Monica Louann Wood, LMFTNPI 1144416090
Title
Director/Owner
Phone
(925) 384-3997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 34080 CA Primary

Addresses

Primary practice location

130 E Leland Rd
Pittsburg, CA 94565-4983

Mailing address

130 E Leland Rd
Pittsburg, CA 94565-4983
Phone (925) 384-3997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190322000735 CA Part B Supplier - Clinic/Group Practice 7810237146 Receives reassigned benefits from 6 practitioners
Practice locations: Pittsburg, CA

National Provider Directory

National Provider Directory

Locations

130 E Leland Rd
Pittsburg, CA 94565
Phone (925) 384-3997

130 E Leland Rd
Ste C
Pittsburg, CA 94565
Phone (925) 384-3997

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1386151702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E LELAND RD",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654983",
            "telephone_number": "925-384-3997",
            "fax_number": "925-252-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E LELAND RD",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654983",
            "telephone_number": "925-384-3997",
            "fax_number": "925-252-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MENTAL WELLNESS GROUP, A FAMILY COUNSELING COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "LOUANN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "925-384-3997",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "34080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.