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BROADSTREET COUNSELING SERVICES LLC
NPI 1053029561
Clinic/Center - Adult Mental Health in Oakland, CA

Active since November 14, 2022
2919 TELEGRAPH AVE APT 303, OAKLAND, CA 94609(313) 704-4217 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broadstreet Counseling Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADSTREET COUNSELING SERVICES LLC (NPI 1053029561) is a healthcare organization registered as an adult mental health in Oakland, California and active in the NPI registry since November 2022. The organization lists Brandon Haygood, Therapist, as its authorized official.

NPPES Registry Identity

NPI1053029561
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameBROADSTREET COUNSELING SERVICES LLC
Location Address2919 TELEGRAPH AVE APT 303Oakland, CA 94609-3577
Mailing Address2919 Telegraph Ave Apt 303Oakland, CA 94609-3577 · (313) 704-4217
Phone(313) 704-4217
Organization SubpartNo
Authorized OfficialBrandon HaygoodTherapist · (313) 704-4217
Enumeration DateNovember 14, 2022
NPPES CertifiedNovember 14, 2022
✔ NPI 1053029561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2919 TELEGRAPH AVE APT 303, Oakland, CA 94609
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadstreet Counseling Services LLC's NPI number?

The NPI number for Broadstreet Counseling Services LLC is 1053029561. It was assigned to this organization in the NPPES registry on November 14, 2022.

Where is Broadstreet Counseling Services LLC located?

Broadstreet Counseling Services LLC is located at 2919 Telegraph Ave Apt 303, Oakland, CA 94609. The listed phone number is (313) 704-4217.

What is Broadstreet Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Broadstreet Counseling Services LLC was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.