Individual provider Active NPI

Elizabeth A Schoettle, M.A.

  • Counselor
  • Oakland, CA
National Provider Identifier
1902907405
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
416 McAuley St
Oakland, CA 94609-1518
Phone
(510) 915-3434
NPI assigned
Sep 26, 2006
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
Counselor 101Y00000X Primary

Addresses

Primary practice location

416 McAuley St
Oakland, CA 94609-1518

Mailing address

416 McAuley St
Oakland, CA 94609-1518
Phone (510) 915-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 20, 2024 through Mar 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902907405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 MCAULEY ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091518",
            "telephone_number": "510-915-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MCAULEY ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091518",
            "telephone_number": "510-915-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOETTLE",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.