Active NPI
Merry Frances Walensa
- Mental Health Counselor
- Richmond, CA
National Provider Identifier
1457820821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 322
- Practice address
- 200 Macdonald Ave
Richmond, CA 94801-2934 - Phone
- (510) 215-4868
- NPI assigned
- Nov 15, 2018
- Last updated
- Nov 15, 2018
- 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 | 322 | CA | Primary |
Addresses
Primary practice location
200 Macdonald Ave
Richmond, CA 94801-2934
Mailing address
2Oo Macdonald Ave
Richmond, CA 94801
Phone (510) 215-4868
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
| License | State | Type | Specialty |
|---|---|---|---|
| 322 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1457820821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2OO MACDONALD AVE",
"city": "RICHMOND",
"state": "CA",
"postal_code": "94801",
"telephone_number": "510-215-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MACDONALD AVE",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948012934",
"telephone_number": "510-215-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALENSA",
"first_name": "MERRY",
"middle_name": "FRANCES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-15",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.