Sequoyah Counseling Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MS17907 Issued in CA

Legal business name

SEQUOYAH COUNSELING CENTER

Practice address

21168 Redwood Rd Ste 100a
Castro Valley, CA 94546-5932

Phone

(510) 909-6476

NPI assigned

Aug 15, 2015

Last updated

Aug 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Edwin Klippenes, MA

Title

Director

Phone

(510) 646-0123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439596800000",
    "number": "1497121297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21168 REDWOOD RD STE 100A",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465932",
            "telephone_number": "510-909-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21168 REDWOOD RD STE 100A",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465932",
            "telephone_number": "510-909-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOYAH COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-15",
        "last_updated": "2015-08-15",
        "status": "A",
        "authorized_official_last_name": "KLIPPENES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-646-0123",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MS17907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Martin Selcer, M.D.
• Seneca Family of Agencies (Redwood High)
• Seneca Family of Agencies (UE MAC SELPA Creekside Outpatient)
• Joslind Sequeira
• Richard William Sequeira, O.D.
• Kajal Sethi
• Kirsten Toverud Severson, PH.D.
• Ankita Harsh Shah
• Arpeet Tarun Shah, M.D.
• Neha N Shah, M.D.

• Mental Health Counselor in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2015; 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.