Individual provider Active NPI

Kelly Ray Woods, AMFT

  • Mental Health Counselor
  • Oakland, CA
National Provider Identifier
1689558884
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AMFT156385 Issued in CA
Practice address
614 Grand Ave Ste 203
Oakland, CA 94610-3554
Phone
(510) 684-7606
NPI assigned
Aug 1, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AMFT156385 CA Primary

Addresses

Primary practice location

614 Grand Ave Ste 203
Oakland, CA 94610-3554

Mailing address

224 Toledo CT
Vallejo, CA 94591-6775
Phone (510) 684-7606

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
AMFT156385CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sankofa Holistic Counseling Services, a Professional Clinical Social W CurrentSince Aug 3, 2025 Accepting new patients

Locations

614 Grand Ave
Ste 203
Oakland, CA 94610
Phone (510) 433-0244

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.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1689558884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TOLEDO CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916775",
            "telephone_number": "510-684-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 GRAND AVE STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946103554",
            "telephone_number": "510-684-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "KELLY",
        "middle_name": "RAY",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT156385",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 12, 2025; 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.