Individual provider Active NPI

Ava H. Charney-Danysh, MFT

  • Mental Health Counselor
  • Berkeley, CA
National Provider Identifier
1881712834
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC37136 Issued in CA
Practice address
2718 Telegraph Ave
Suite 210
Berkeley, CA 94705-1130
Phone
(510) 527-6112
Fax
(510) 848-8033
NPI assigned
Mar 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC37136 CA Primary

Addresses

Primary practice location

2718 Telegraph Ave
Suite 210
Berkeley, CA 94705-1130

Mailing address

1212 Stannage Ave
Berkeley, CA 94706-2224
Phone (510) 527-6112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 19, 2024 through Jan 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC37136CAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881712834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 STANNAGE AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947062224",
            "telephone_number": "510-527-6112",
            "fax_number": "510-848-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 TELEGRAPH AVE",
            "address_2": "SUITE 210",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051130",
            "telephone_number": "510-527-6112",
            "fax_number": "510-848-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARNEY-DANYSH",
        "first_name": "AVA",
        "middle_name": "H.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC37136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.