Choi Licensed Clinical Social Worker & Nishimi Child Therapist

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHOI LICENSED CLINICAL SOCIAL WORKER & NISHIMI CHILD THERAPIST

Doing business as

East Bay Center for Teen and Family Therapy
Illuminated Mind Therapy Center

Practice address

1844 San Miguel Dr Ste 306a
Walnut Creek, CA 94596-8610

Phone

(925) 289-8025

NPI assigned

Jan 22, 2024

Last updated

May 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea NishimiNPI 1629762489

Title

Co-Founder

Phone

(925) 289-8025

Specialties & licenses 3

Addresses

Other names 2

• East Bay Center for Teen and Family Therapy Doing business as
• Illuminated Mind Therapy Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Nishimi, LMFT, LPCC

  • Marriage & Family Therapist
  • Walnut Creek, CA
  • NPI 1629762489

  Mental Health

  NPD Authorized official
• Allen Choi, LCSW

  • Clinical Social Worker
  • Walnut Creek, CA
  • NPI 1013692722

  Mental Health

  NPD

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1730940297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 306A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 306A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968610",
            "telephone_number": "925-289-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOI LICENSED CLINICAL SOCIAL WORKER & NISHIMI CHILD THERAPIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "NISHIMI",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "925-289-8025"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Bay Center for Teen and Family Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Illuminated Mind Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John T Cho, M.D.
• Reena Cho, FNP
• Sung S. Cho, MD
• Wooyong Cho, AU.D
• Yuet Yee Cho
• Alice Choi, APN
• Allen Choi, LCSW
• Curtis Hyunmin Choi, DPT
• Esther Soo Yun Choi, PHARM. D.
• Jack Joon-Sung Choi, M.D.

• Mental Health Counselor in Walnut Creek, CA
• Providers in Walnut Creek, 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 May 31, 2024; 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.