Individual provider Active NPI

Brannon Reid Lewis, AMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1730869033
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT150612 Issued in CA
Practice address
516 Oakland Ave Ste 203
Oakland, CA 94611-5429
Phone
(510) 463-4123
NPI assigned
Jul 20, 2023
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT150612 CA Primary

Addresses

Primary practice location

516 Oakland Ave Ste 203
Oakland, CA 94611-5429

Mailing address

1585 62ND St Unit 8244
Emeryville, CA 94662-7010

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
AMFT150612CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Center for Human Growth CurrentSince Aug 6, 2023 Accepting new patients
Pacific Center for Human Growth CurrentSince Jul 1, 2023 Accepting new patients
Axis Mundi Center for Mental Health CurrentSince Nov 24, 2025 Accepting new patients

Locations

2130 Center St
Ste 200
Berkeley, CA 94704
Phone (510) 548-8283

2712 Telegraph Ave
Berkeley, CA 94705
Phone (510) 548-8283

Organizations & group practices 3

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": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1730869033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 62ND ST UNIT 8244",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946627010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 OAKLAND AVE STE 203",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115429",
            "telephone_number": "510-463-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRANNON",
        "middle_name": "REID",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2023-07-20",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT150612",
            "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 May 22, 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.