Jeffery K Allen Jr., MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10945 Issued in CA

Practice address

1212 Broadway Ste 1200
Oakland, CA 94612-1814

Phone

(855) 427-2778

Fax

(510) 834-2045

NPI assigned

Aug 27, 2018

Last updated

Oct 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD
• Homeless Children's Network

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1295871150
  NPD (past)
• Mark David Levine, MD Burlingame PC

  dba Community Psychiatry Associates

  • Psychiatry Physician
  • San Mateo, CA
  • NPI 1770709263
  NPD (past)
• Subacute Treatment for Adolescent Rehabilitation Services, Inc.

  dba Prescott School

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1558684738
  NPD (past)
• Subacute Treatment for Adolescent Rehabilitation Services, Inc.

  dba Del Rey Elementary

  • Community/Behavioral Health Agency
  • San Lorenzo, CA
  • NPI 1902117450
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1659852648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 165TH AVE APT 111",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945783141",
            "telephone_number": "706-817-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BROADWAY STE 1200",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121814",
            "telephone_number": "855-427-2778",
            "fax_number": "510-834-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 Via Sonya",
            "address_purpose": "LOCATION",
            "city": "San Lorenzo",
            "state": "CA",
            "postal_code": "945802760",
            "country_code": "US",
            "telephone_number": "510-317-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 3rd St Ste 1C",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941241444",
            "country_code": "US",
            "telephone_number": "415-437-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JEFFERY",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "10945",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek N Allen
• Eleanor Allen, MD
• Emile Anthony Allen, M.D.
• Gannetta Mary Allen
• Jacquelyn Ruth Allen
• Lorraine Allen II
• Mackenzie Allen, RDN
• Merrillyn Allen, R.N.
• Michael Joseph Allen Jr.
• Miranda Allen

• Mental Health Counselor in Oakland, CA
• Providers in Oakland, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.