Active NPI
Casey J Mesa, ASW
- Mental Health Counselor
- Novato, CA
National Provider Identifier
1790984524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 89168
- Practice address
- 201 Alameda del Prado Ste 103
Novato, CA 94949-6698 - Phone
- (415) 457-6966
- NPI assigned
- Jul 12, 2007
- 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 | 89168 | CA | Primary |
Addresses
Primary practice location
201 Alameda del Prado Ste 103
Novato, CA 94949-6698
Mailing address
201 Alameda del Prado Ste 103
Novato, CA 94949-6698
Phone (415) 457-6966
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": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598486400000",
"number": "1790984524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 ALAMEDA DEL PRADO STE 103",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496698",
"telephone_number": "415-457-6966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ALAMEDA DEL PRADO STE 103",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496698",
"telephone_number": "415-457-6966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESA",
"first_name": "CASEY",
"middle_name": "J",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2020-08-27",
"certification_date": "2020-08-23",
"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": "CA",
"license": "89168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
- Tania Mejia Garcia
- Matthew Menasco, DDS
- Menm, LLC (Miracle Ear)
- Mental Health Management I, Inc. (Canyon Manor)
- Meritage Aco LLC
- Joni Metolius, MFT
- MG Healing Wheels Transportation LLC
- Christine Ann Miaskowski, RN, PHD
- Michael L Rosenthal DDS & Rajiv J Anand DDS Inc (Dentistry By Design of Marin)
- Hannah Rachel Michahelles
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.