Active NPI
Willie Frieson Poole III, BA
- Counselor
- San Francisco, CA
National Provider Identifier
1881106300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2198 Cayuga Ave
San Francisco, CA 94112-4023 - Phone
- (650) 808-0815
- NPI assigned
- Oct 25, 2017
- Last updated
- Feb 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
2198 Cayuga Ave
San Francisco, CA 94112-4023
Mailing address
2198 Cayuga Ave
San Francisco, CA 94112-4023
Phone (510) 798-9725
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1881106300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2198 CAYUGA AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941124023",
"telephone_number": "510-798-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2198 CAYUGA AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941124023",
"telephone_number": "650-808-0815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "WILLIE",
"middle_name": "FRIESON",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-25",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.