Active NPI
Jennifer Mullane
- Professional Counselor
- Alameda, CA
National Provider Identifier
1750796439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC329
- Practice address
- 1516 Oak St
Suite 313
Alameda, CA 94501-2947 - Phone
- (510) 205-6598
- NPI assigned
- Jun 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPCC329 | CA | |
| Professional Counselor | 101YP2500X | LPC329 | CA | Primary |
Addresses
Primary practice location
1516 Oak St
Suite 313
Alameda, CA 94501-2947
Mailing address
1516 Oak St
Suite 313
Alameda, CA 94501-2947
Phone (510) 205-6598
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC329 | CA | MD | Mental Health Counselor |
| LPC329 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1750796439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 OAK ST",
"address_2": "SUITE 313",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945012947",
"telephone_number": "510-205-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 OAK ST",
"address_2": "SUITE 313",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945012947",
"telephone_number": "510-205-6598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLANE",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-21",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LPCC329",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "LPC329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.