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CHARLISSA JONES
NPI 1194183079
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since February 05, 2016
2640 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94704(510) 981-5290(510) 981-5265 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2024, Feb 5, 2016 (2 updates tracked since 2016).

About Charlissa Jones NPPES

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

CHARLISSA JONES (NPI 1194183079) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since February 2016. She maintains a secondary practice location in Berkeley.

NPPES Registry Identity

NPI1194183079
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHARLISSA JONES
Location Address2640 MARTIN LUTHER KING JR WAYBerkeley, CA 94704-3238
Mailing Address2640 Martin Luther King Jr WayBerkeley, CA 94704-3238 · (510) 981-5290 · Fax (510) 981-5265
Phone(510) 981-5290
Fax(510) 981-5265
Sole ProprietorNo
Enumeration DateFebruary 5, 2016
Last NPPES UpdateMay 10, 20242 updates tracked since enumeration
NPPES CertifiedMay 10, 2024
✔ NPI 1194183079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2640 MARTIN LUTHER KING JR WAY, Berkeley, CA 94704
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Secondary Practice Location 1

Location 12640 Martin Luther King Jr WayBerkeley, CA 94704-3238 · Phone (510) 981-5290 · Fax (510) 981-5265

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET SUSAN HIGGINS RN
Registered Nurse (Psychiatric/Mental Health)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JULIE ANN OQUERIZA MARIANO
Registered Nurse (Psychiatric/Mental Health, Adult)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
JAMES RUBIN GLENN
Social Worker
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
LELAND S JOHNSON MFT
Marriage & Family Therapist
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
BRYAN THUNSTEDT RN
Registered Nurse
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MR. MICHAEL HILTON MARCHANT LCSW
Social Worker (Clinical)
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
MISS AMANDA HARTMAN
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290
KATHARINE VIDT
Student in an Organized Health Care Education/Training Program
2640 MARTIN LUTHER KING JR WAY
BERKELEY, CA 94704
Alameda County (510) 981-5290

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 Charlissa Jones's NPI number?

The NPI number for Charlissa Jones is 1194183079. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Where is Charlissa Jones located?

Charlissa Jones practices at 2640 Martin Luther King Jr Way, Berkeley, CA 94704. The listed phone number is (510) 981-5290.

What is Charlissa Jones's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Charlissa Jones was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.