Individual provider Active NPI

Brent Ringwood

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1578813408
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
136244 Issued in CA
Practice address
3478 Buskirk Ave
Suite 260
Pleasant Hill, CA 94523-4344
Phone
(925) 943-1794
NPI assigned
Sep 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AMFT77895 CA
Mental Health Counselor 101YM0800X
Student in an Organized Health Care Education/Training Program 390200000X IMF77895 CA
Student in an Organized Health Care Education/Training Program 390200000X AMFT117271 CA
Marriage & Family Therapist 106H00000X 136244 CA Primary

Addresses

Primary practice location

3478 Buskirk Ave
Suite 260
Pleasant Hill, CA 94523-4344

Mailing address

3175 Adeline St
PO Box 3245
Berkeley, CA 94703-5099
Phone (925) 788-2148

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

LicenseStateTypeSpecialty
AMFT77895CAMDMental Health Counselor
136244CAMDMarriage & Family Therapist
AMFT117271CAMDStudent in an Organized Health Care Education/Training Program
IMF77895CAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1578813408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 ADELINE ST",
            "address_2": "PO BOX 3245",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947035099",
            "telephone_number": "925-788-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 BUSKIRK AVE",
            "address_2": "SUITE 260",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234344",
            "telephone_number": "925-943-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGWOOD",
        "first_name": "BRENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT77895",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "IMF77895",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "AMFT117271",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.