Active NPI
Briana O'Daniel, ASW
- Mental Health Counselor
- Sacramento, CA
National Provider Identifier
1710390349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4616 Roosevelt Ave
Sacramento, CA 95820-4520 - Phone
- (916) 379-5876
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4616 Roosevelt Ave
Sacramento, CA 95820-4520
Mailing address
18525 Sutter Blvd Ste 200
Morgan Hill, CA 95037-2899
Phone (408) 762-7022
Other practice location 1
2261 Elm Street Bl
Napa County Mental Health Division
Napa, CA 94559
Phone (707) 299-1760
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psynergy Programs, Inc. | Clinical | Past | Accepting new patients |
| Psynergy Programs, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1710390349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18525 SUTTER BLVD STE 200",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950372899",
"telephone_number": "408-762-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4616 ROOSEVELT AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958204520",
"telephone_number": "916-379-5876"
}
],
"practiceLocations": [
{
"address_1": "2261 Elm Street Bl",
"address_2": "Napa County Mental Health Division",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "94559",
"country_code": "US",
"telephone_number": "707-299-1760",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'DANIEL",
"first_name": "BRIANA",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.