Individual provider Active NPI

Alissa Cohen

  • Mental Health Counselor
  • Orinda, CA
National Provider Identifier
1679161970
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8028 Issued in CA
Practice address
302 Village SQ
Orinda, CA 94563-2506
Phone
(925) 386-6037
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
8028CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Green Leaf, a Psychological Services Corporation Mental Health CurrentSince Jan 10, 2021 Accepting new patients

Locations

302 Village Sq
Orinda, CA 94563
Phone (925) 330-0472

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8028 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

302 Village SQ
Orinda, CA 94563-2506

Mailing address

380 Euclid Ave Apt 5
Oakland, CA 94610-3236
Phone (951) 741-2990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2021.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1679161970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 EUCLID AVE APT 5",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103236",
            "telephone_number": "951-741-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 VILLAGE SQ",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945632506",
            "telephone_number": "925-386-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ALISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "8028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orinda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.