NPIMap

Organization Active NPI

Community Counseling & Education Center

  • Community/Behavioral Health Agency
  • Fremont, CA
National Provider Identifier
1679757074
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
101YA0400X Issued in CA
Legal business name
COMMUNITY COUNSELING & EDUCATION CENTER
Practice address
3775 Beacon Ave
Suite 2
Fremont, CA 94538-1465
Phone
(510) 792-3129
Fax
(510) 792-4928
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Barbara Ann Humphreys
Title
Executive Director
Phone
(510) 792-3129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 101YA0400X CA Primary

Addresses

Primary practice location

3775 Beacon Ave
Suite 2
Fremont, CA 94538-1465

Mailing address

3775 Beacon Ave
Suite 2
Fremont, CA 94538
Phone (510) 792-3129

Other identifiers 1

IdentifierTypeStateIssuer
101YA0400XOtherCADRUG & ALCOHOL COUNSELOR

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling and Education Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3775 Beacon Ave
Ste 2
Fremont, CA 94538
Phone (510) 792-3129

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1679757074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 BEACON AVE",
            "address_2": "SUITE 2",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94538",
            "telephone_number": "510-792-3129",
            "fax_number": "510-792-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 BEACON AVE",
            "address_2": "SUITE 2",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381465",
            "telephone_number": "510-792-3129",
            "fax_number": "510-792-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING & EDUCATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-792-3129"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "101YA0400X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG & ALCOHOL COUNSELOR",
            "identifier": "101YA0400X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.