Active NPI
Danielle Olivia Pence, MFT
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1841360237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 46278
- Practice address
- 111 Myrtle St Ste 102
Oakland, CA 94607-2535 - Phone
- (510) 839-3800
- NPI assigned
- Nov 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 46278 | CA | Primary |
Addresses
Primary practice location
111 Myrtle St Ste 102
Oakland, CA 94607-2535
Mailing address
3216 Briggs Ave Apt B
Alameda, CA 94501-4803
Phone (510) 289-0767
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 |
|---|---|---|---|
| 46278 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254355200000",
"number": "1841360237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3216 BRIGGS AVE APT B",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014803",
"telephone_number": "510-289-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MYRTLE ST STE 102",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946072535",
"telephone_number": "510-839-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENCE",
"first_name": "DANIELLE",
"middle_name": "OLIVIA",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2009-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "46278",
"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 Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.