Alexis Elisena Cosko Peciulis, LMFT 106170

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

106170 Issued in CA

Practice address

1315 Fruitvale Ave
Oakland, CA 94601-2927

Phone

(510) 300-3170

Fax

(833) 516-1896

NPI assigned

Nov 12, 2012

Last updated

Mar 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alternative Family Services, Inc.

  • Community/Behavioral Health Agency
  • Pleasanton, CA
  • NPI 1730390162
  NPD (past)

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1528302734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012927",
            "telephone_number": "510-300-3170",
            "fax_number": "833-516-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012927",
            "telephone_number": "510-300-3170",
            "fax_number": "833-516-1896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Roland Way Ste 150",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94621",
            "country_code": "US",
            "telephone_number": "510-839-3800",
            "fax_number": "510-839-3888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECIULIS",
        "first_name": "ALEXIS",
        "middle_name": "ELISENA COSKO",
        "name_prefix": "Mrs.",
        "credential": "LMFT 106170",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Pebley
• Aracely Pech
• Chandarasy Pech, COMMUNITY WORKER
• Nary Pech, MHRS
• Saravuth Pech
• Davonte Martez Peck
• Chrystal Pecot
• Jennifer Aline Pedelaborde
• Rachel Therese Pedemonte, FNP, RN
• Pediatric Contracting Services, Inc.

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.