Active NPI
Jeffrey Beal
- Clinical Social Worker
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 92582
- Practice address
- 150 Grand Ave Ste 200
Oakland, CA 94612-3726 - Phone
- (510) 923-1099
- Fax
- (510) 903-7509
- NPI assigned
- Aug 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | 92582 | CA | Primary |
| Mental Health Counselor | 101YM0800X | 68533 | CA |
Addresses
Primary practice location
150 Grand Ave Ste 200
Oakland, CA 94612-3726
Mailing address
150 Grand Ave Ste 200
Oakland, CA 94612-3726
Phone (510) 923-1099
Other practice location 1
13939 E 14th St Ste 190
San Leandro, CA 94578-2601
Phone (510) 714-1196
Other practice location 2
3260 Blume Dr
Ste 450
Richmond, CA 94806-5203
Phone (510) 262-6551
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68533 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonita House, Inc. | Current | Accepting new patients |
Locations
1919 Addison St
Ste 204
Berkeley, CA 94704
Phone (510) 899-7445
1605 Jefferson St
Oakland, CA 94612
Phone (510) 899-7445
7200 Bancroft Ave
Ste 267
Oakland, CA 94605
Phone (510) 735-0864
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.
-
- Case Management Agency
- Oakland, CA
- NPI 1053526715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1962634840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 GRAND AVE STE 200",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123726",
"telephone_number": "510-923-1099",
"fax_number": "510-903-7509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 GRAND AVE STE 200",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123726",
"telephone_number": "510-923-1099",
"fax_number": "510-903-7509"
}
],
"practiceLocations": [
{
"address_1": "13939 E 14th St Ste 190",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945782601",
"country_code": "US",
"telephone_number": "510-714-1196",
"fax_number": "510-647-9408",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3260 Blume Dr",
"address_2": "Ste 450",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948065203",
"country_code": "US",
"telephone_number": "510-262-6551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEAL",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-11",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "92582",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "68533",
"primary": false
}
],
"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 Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.