Active NPI
Annie Brashem, LCSW
- Mental Health Counselor
- Oakland, CA
National Provider Identifier
1386412492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 82060
- Practice address
- 5250 Leona St
Oakland, CA 94619-3004 - Phone
- (510) 545-3837
- NPI assigned
- Dec 18, 2023
- Last updated
- Dec 18, 2023
- Sex
- Female
- 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 | 82060 | CA | Primary |
Addresses
Primary practice location
5250 Leona St
Oakland, CA 94619-3004
Mailing address
5250 Leona St
Oakland, CA 94619-3004
Phone (510) 545-3837
Other names 1
- Annie Berenberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 5, 2024 through Feb 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82060 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1386412492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 LEONA ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946193004",
"telephone_number": "510-545-3837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 LEONA ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946193004",
"telephone_number": "510-545-3837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASHEM",
"first_name": "ANNIE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "82060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNIE",
"last_name": "BERENBERG",
"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 Dec 18, 2023; 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.