Sweet Oak Therapy Licensed Clinical

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SWEET OAK THERAPY LICENSED CLINICAL

Practice address

1260B 45TH St
Emeryville, CA 94608-2907

Phone

(510) 345-1474

NPI assigned

Aug 6, 2026

Organization subpart

No

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

Authorized official

Name

Gabrielle Theobald-Anderson, LCSW

Title

Owner

Phone

(510) 345-1474

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1720902323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260B 45TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260B 45TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082907",
            "telephone_number": "510-345-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET OAK THERAPY LICENSED CLINICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "THEOBALD-ANDERSON",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-345-1474",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Kei Sugawara, PHD
• Kamaya Brianna Sumlin
• Vantrice Surrell
• Max Benjamin Sutton-Smolin, PSYD
• Kourtney Sweeney
• Sarah Swensen
• Andre Szarmach
• Taneen R Taeed
• Mary Anne Tagliaferri, M.D.
• Akari Takahashi, CMT, CST

• Mental Health Counselor in Emeryville, CA
• Providers in Emeryville, 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 Aug 6, 2026; 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.