Individual provider Active NPI

Mariana Chavez-Gereda, LMFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1740315613
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 90484 Issued in CA
Practice address
154 Santa Clara Ave Ste 7
Oakland, CA 94610-1323
Phone
(106) 958-7695
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X LMFT 90484 CA Primary

Addresses

Primary practice location

154 Santa Clara Ave Ste 7
Oakland, CA 94610-1323

Mailing address

3958 Castro Valley Blvd Apt 23
Castro Valley, CA 94546-6028
Phone (510) 695-8769

Other names 1

  • Maria Chavez Other name

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
LMFT 90484CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Mind-Body Therapy for Women Children and Families Inc Marriage & Family Therapist CurrentSince Jan 28, 2024 Accepting new patients
Mariana Chavez-Gereda, Inc. Marriage & Family Therapist CurrentSince Apr 30, 2023 Accepting new patients

Locations

154 Santa Clara Ave
Ste 7
Oakland, CA 94610
Phone (510) 637-9101

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1740315613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3958 CASTRO VALLEY BLVD APT 23",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466028",
            "telephone_number": "510-695-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 SANTA CLARA AVE STE 7",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946101323",
            "telephone_number": "106-958-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ-GEREDA",
        "first_name": "MARIANA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 90484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CHAVEZ",
            "credential": "LMFT90484",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 25, 2023; 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.