Individual provider Active NPI

Annie Shirrell, LMFT, LPCC

  • Mental Health Counselor
  • Oakland, CA
National Provider Identifier
1497414205
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
134668 Issued in CA
Practice address
2940 Summit St Ste 2D
Oakland, CA 94609-3416
Phone
(916) 538-0051
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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 134668 CA Primary

Addresses

Primary practice location

2940 Summit St Ste 2D
Oakland, CA 94609-3416

Mailing address

2447 Santa Clara Ave Ste 301
Alameda, CA 94501-4579
Phone (510) 239-7022

Other names 1

  • Annie Sankey Former name

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 6, 2026 through Feb 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Wave Within Professional Clinical Counselor Corporation Mental Health Current Accepting new patients

Locations

2447 Santa Clara Ave
Ste 301
Alameda, CA 94501
Phone (510) 239-7022

2940 Summit St
Ste 2D
Oakland, CA 94609
Phone (510) 408-6532

Organizations & group practices 1

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": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1497414205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 SANTA CLARA AVE STE 301",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014579",
            "telephone_number": "510-239-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 SUMMIT ST STE 2D",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093416",
            "telephone_number": "916-538-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRRELL",
        "first_name": "ANNIE",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2024-12-26",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "134668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "SANKEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.