Active NPI
Carolina Robb
- Addiction (Substance Use Disorder) Counselor
- Oakland, CA
National Provider Identifier
1649302605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- M13514
- Practice address
- 2647 International Blvd
Suite 412
Oakland, CA 94601-1537 - Phone
- (510) 532-5242
- Fax
- (510) 533-7918
- NPI assigned
- Mar 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | M13514 | CA | Primary |
| Mental Health Counselor | 101YM0800X | M13514 | CA |
Addresses
Primary practice location
2647 International Blvd
Suite 412
Oakland, CA 94601-1537
Mailing address
2647 International Blvd
Suite 412
Oakland, CA 94601-1537
Phone (510) 532-5242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11486601 | Other | CA | CAQH |
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 26, 2024 through Feb 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M13514 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 13514 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649302605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 INTERNATIONAL BLVD",
"address_2": "SUITE 412",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946011537",
"telephone_number": "510-532-5242",
"fax_number": "510-533-7918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2647 INTERNATIONAL BLVD",
"address_2": "SUITE 412",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946011537",
"telephone_number": "510-532-5242",
"fax_number": "510-533-7918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBB",
"first_name": "CAROLINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "M13514",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "M13514",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11486601",
"state": "CA"
}
],
"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 Sep 11, 2025; 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.