Individual provider Active NPI

Jeffrey Beal

  • Clinical Social Worker
  • Oakland, CA
National Provider Identifier
1962634840
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
92582 Issued in CA
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

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
68533CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bonita House, Inc. CurrentSince Nov 8, 2023 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.

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.

Verify at the official NPI Registry.