Active NPI
Naomi Nichole Burks, LMFT
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1770987018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT119681
- Practice address
- 1266 14TH St
Oakland, CA 94607-2205 - Phone
- (510) 273-4700
- NPI assigned
- Oct 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | IMF100771 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT119681 | CA | Primary |
Addresses
Primary practice location
1266 14TH St
Oakland, CA 94607-2205
Mailing address
1271 Washington Ave # 928
San Leandro, CA 94577-3646
Phone (510) 246-9070
Other practice location 1
2701 EC Reems Port
Apt 3B
Oakland, CA 94605
Phone (510) 246-9070
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 |
|---|---|---|---|
| LMFT119681 | CA | MD | Marriage & Family Therapist |
| IMF100771 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594944000000",
"number": "1770987018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1271 WASHINGTON AVE # 928",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945773646",
"telephone_number": "510-246-9070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1266 14TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946072205",
"telephone_number": "510-273-4700"
}
],
"practiceLocations": [
{
"address_1": "2701 EC Reems Port",
"address_2": "Apt 3B",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "94605",
"country_code": "US",
"telephone_number": "510-246-9070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKS",
"first_name": "NAOMI",
"middle_name": "NICHOLE",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-15",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "IMF100771",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT119681",
"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 Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.