Individual provider Active NPI

Teiahsha Bankhead, LCSW

  • Mental Health Counselor
  • Oakland, CA
National Provider Identifier
1790627750
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22504 Issued in CA
Practice address
1733 Broadway
Oakland, CA 94612-2105
Phone
(510) 931-7569
NPI assigned
Apr 8, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 22504 CA Primary

Addresses

Primary practice location

1733 Broadway
Oakland, CA 94612-2105

Mailing address

1733 Broadway
Oakland, CA 94612-2105
Phone (510) 931-7569

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
22504CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Justice for Oakland Youth Multi-Specialty CurrentSince Nov 30, 2025 Accepting new patients

Locations

1733 Broadway
Oakland, CA 94612
Phone (510) 485-3844

Organizations & group practices 1

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": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1790627750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122105",
            "telephone_number": "510-931-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 BROADWAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122105",
            "telephone_number": "510-931-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKHEAD",
        "first_name": "TEIAHSHA",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "22504",
            "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 Apr 8, 2026; 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.