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JENNIFER MICHELLE URDANETA-CASSOMA
NPI 1205311560
Counselor in Oakland, CA

Active since October 02, 2018
390 40TH ST, OAKLAND, CA 94609(510) 545-9763 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Michelle Urdaneta-cassoma NPPES

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

JENNIFER MICHELLE URDANETA-CASSOMA (NPI 1205311560) is an individual counselor in Oakland, California and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1205311560
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJENNIFER MICHELLE URDANETA-CASSOMA
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StreetOakland, CA 94609-2633
Phone(510) 545-9763
Sole ProprietorNo
Enumeration DateOctober 2, 2018
✔ NPI 1205311560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
390 40TH ST, Oakland, CA 94609
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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.

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
KIMBERLY ESPINOZA
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330

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 Jennifer Urdaneta-cassoma's NPI number?

The NPI number for Jennifer Urdaneta-cassoma is 1205311560. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Jennifer Urdaneta-cassoma located?

Jennifer Urdaneta-cassoma practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 545-9763.

What is Jennifer Urdaneta-cassoma's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Urdaneta-cassoma was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.