Active NPI
Sophora Acheson
- Mental Health Counselor
- Castro Valley, CA
National Provider Identifier
1649839770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 112476
- Practice address
- 20880 Baker Rd
Castro Valley, CA 94546-5729 - Phone
- (510) 581-5626
- NPI assigned
- Jun 12, 2019
- 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 | 112476 | CA | Primary |
Addresses
Primary practice location
20880 Baker Rd
Castro Valley, CA 94546-5729
Mailing address
2555 Wright Ave
Pinole, CA 94564-1073
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112476 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1649839770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 WRIGHT AVE",
"city": "PINOLE",
"state": "CA",
"postal_code": "945641073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20880 BAKER RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465729",
"telephone_number": "510-581-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHESON",
"first_name": "SOPHORA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "112476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.