Active NPI
Sharon Lebenkoff
- Mental Health Counselor
- San Pablo, CA
National Provider Identifier
1780311936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2023 Vale Rd Ste 107
San Pablo, CA 94806-3891 - Phone
- (510) 981-4100
- NPI assigned
- Aug 5, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2023 Vale Rd Ste 107
San Pablo, CA 94806-3891
Mailing address
81 Glen Ave Apt 308
Oakland, CA 94611-4941
Phone (510) 495-4905
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1780311936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 GLEN AVE APT 308",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946114941",
"telephone_number": "510-495-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 VALE RD STE 107",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063891",
"telephone_number": "510-981-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBENKOFF",
"first_name": "SHARON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-05",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.