Individual provider Active NPI

Meta Bodewes

  • Counselor
  • San Francisco, CA
National Provider Identifier
1821600362
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
98 Bosworth St
San Francisco, CA 94112-1002
Phone
(415) 551-0975
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 077166-1 NY
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X
Counselor 101Y00000X Primary

Addresses

Primary practice location

98 Bosworth St
San Francisco, CA 94112-1002

Mailing address

98 Bosworth St
San Francisco, CA 94112-1002
Phone (415) 551-0975

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meta@ottp-sf.org

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
077166-1NYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oakes Children'S Center, Inc PastSince Aug 1, 2020 Accepting new patients

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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1821600362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 BOSWORTH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121002",
            "telephone_number": "415-551-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 BOSWORTH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121002",
            "telephone_number": "415-551-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEWES",
        "first_name": "META",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "077166-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meta@ottp-sf.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "98 Bosworth St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941121002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.