Active NPI
Colorado Maria Kagan, M.S., LMFT
- Mental Health Counselor
- Oakland, CA
National Provider Identifier
1609170760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 36385
- Practice address
- 5655 College Ave
Suite 314E
Oakland, CA 94618-1583 - Phone
- (510) 297-4937
- NPI assigned
- Jan 4, 2011
- 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 | 36385 | CA | Primary |
Addresses
Primary practice location
5655 College Ave
Suite 314E
Oakland, CA 94618-1583
Mailing address
5655 College Ave
Suite 314E
Oakland, CA 94618-1583
Phone (510) 297-4937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36385 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1609170760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5655 COLLEGE AVE",
"address_2": "SUITE 314E",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181583",
"telephone_number": "510-297-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5655 COLLEGE AVE",
"address_2": "SUITE 314E",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181583",
"telephone_number": "510-297-4937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAGAN",
"first_name": "COLORADO",
"middle_name": "MARIA",
"credential": "M.S., LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-04",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "36385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.