Individual provider Active NPI

Selina-Marie Aiello Haefke

  • Mental Health Counselor
  • Pleasant Hill, CA
National Provider Identifier
1396379681
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304
Phone
(925) 933-2627
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304

Mailing address

1200 Concord Ave Ste 450
Concord, CA 94520-4959
Phone (925) 933-2627

Other practice location 1

1200 Concord Ave Ste 450
Concord, CA 94520-4959
Phone (925) 933-2627

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
Healthy Mind World CurrentSince Mar 24, 2025 Accepting new patients
Youth Homes, Inc. CurrentSince Feb 24, 2022 Accepting new patients

Locations

1200 Concord Ave
Ste 450
Concord, CA 94520
Phone (925) 286-5684

3480 Buskirk Ave
Ste 210
Pleasant Hill, CA 94523

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1396379681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CONCORD AVE STE 450",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204959",
            "telephone_number": "925-933-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 BUSKIRK AVE STE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234304",
            "telephone_number": "925-933-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Concord Ave Ste 450",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945204959",
            "country_code": "US",
            "telephone_number": "925-933-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAEFKE",
        "first_name": "SELINA-MARIE",
        "middle_name": "AIELLO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.