Individual provider Active NPI

Eric Pitts, R1447931021

  • Counselor
  • Hayward, CA
National Provider Identifier
1386327344
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
R1447931021 Issued in CA
Practice address
2575 Depot Rd
Hayward, CA 94545-2341
Phone
(510) 784-7850
NPI assigned
Aug 8, 2023
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X R1447931021 CA Primary

Addresses

Primary practice location

2575 Depot Rd
Hayward, CA 94545-2341

Mailing address

2575 Depot Rd
Hayward, CA 94545-2341
Phone (510) 784-7850

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
R1447931021CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Services, Inc CurrentSince Dec 24, 2023 Accepting new patients

Locations

2575 Depot Rd
Hayward, CA 94545
Phone (510) 784-5874

Organizations & group practices 1

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1386327344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 DEPOT RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452341",
            "telephone_number": "510-784-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 DEPOT RD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452341",
            "telephone_number": "510-784-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "ERIC",
        "credential": "R1447931021",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "R1447931021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.