Active NPI
Mary Fleisch, LCSW
- Mental Health Counselor
- Oakland, CA
National Provider Identifier
1427467117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 445 Bellevue Ave Ste 4
Oakland, CA 94610-4923 - Phone
- (510) 239-7243
- NPI assigned
- Aug 6, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
445 Bellevue Ave Ste 4
Oakland, CA 94610-4923
Mailing address
445 Bellevue Ave Ste 4
Oakland, CA 94610-4923
Phone (510) 239-7243
Other practice location 1
2940 Summit St Ste 2C&2D
Oakland, CA 94609-3416
Phone (510) 239-7243
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mary@haarthayward.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 20, 2025 through Jun 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Fleisch LCSW Integrative Counseling Inc | Current | Accepting new patients | |
| Humanistic Alternatives to Addiction, Research and Treatment Inc. | Past | Accepting new patients |
Locations
445 Bellevue Ave
Ste 4
Oakland, CA 94610
Phone (510) 239-7243
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.
-
dba Mary Fleisch Therapy
- Clinical Social Worker
- Oakland, CA
- NPI 1922701051
-
- Methadone Clinic
- Hayward, CA
- NPI 1184835332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1427467117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 BELLEVUE AVE STE 4",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104923",
"telephone_number": "510-239-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 BELLEVUE AVE STE 4",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946104923",
"telephone_number": "510-239-7243"
}
],
"practiceLocations": [
{
"address_1": "2940 Summit St Ste 2C&2D",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946093416",
"country_code": "US",
"telephone_number": "510-239-7243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEISCH",
"first_name": "MARY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-06",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mary@haarthayward.org",
"affiliation": "N",
"address_1": "20094 Mission Blvd",
"city": "Hayward",
"state": "CA",
"country_code": "US",
"postal_code": "945411237",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Apr 3, 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.