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KATHLEEN WONACOTT MSW
NPI 1558620419
Counselor - Mental Health in Oakland, CA

Active since May 14, 2012PECOS EnrolledAccepts Medicare Assignment
5297 COLLEGE AVE, STE 103, OAKLAND, CA 94618(415) 457-3755(415) 457-0849 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2021, Jun 26, 2017 (2 updates tracked since 2017).

About Kathleen Wonacott Msw NPPES

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

KATHLEEN WONACOTT MSW (NPI 1558620419) is an individual mental health provider in Oakland, California, licensed in California (77334) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1558620419
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHLEEN WONACOTTCredential: MSW
Location Address5297 COLLEGE AVE, STE 103Oakland, CA 94618
Mailing Address4900 Shattuck Ave Unit 3593Oakland, CA 94609-7022 · (415) 457-3755 · Fax (415) 457-0849
Phone(415) 457-3755
Fax(415) 457-0849
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 14, 2012
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1558620419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 77334
5297 COLLEGE AVE, Oakland, CA 94618
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Wonacott Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901235100
PECOS Enrollment IDI20230807001152
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Wonacott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bay Psychology Group Inc
0.7 mi
Clinical
4900 SHATTUCK AVE UNIT 3593
Oakland, CA 94609
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1689173759 (510) 788-0005

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

ALISON TABA DPT
Physical Therapist
5297 COLLEGE AVE
OAKLAND, CA 94618
Alameda County (510) 547-1630
MELANIE BANDERA-HESS LMFT
Marriage & Family Therapist
5297 COLLEGE AVE, SUITE 206
OAKLAND, CA 94618
Alameda County (707) 235-7859
DR. BRIAN SCOTT SEDGELEY PSY.D.
Psychologist
5297 COLLEGE AVE, STE 103
OAKLAND, CA 94618
Alameda County (510) 788-0005
JENNA ROAT MFTINTERN
Student in an Organized Health Care Education/Training Program
5297 COLLEGE AVE
OAKLAND, CA 94618
Alameda County (510) 898-6553

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 Kathleen Wonacott's NPI number?

The NPI number for Kathleen Wonacott is 1558620419. It was assigned to this individual provider in the NPPES registry on May 14, 2012.

Where is Kathleen Wonacott located?

Kathleen Wonacott practices at 5297 College Ave Ste 103, Oakland, CA 94618. The listed phone number is (415) 457-3755.

What is Kathleen Wonacott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathleen Wonacott enrolled in Medicare?

Yes. Kathleen Wonacott is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kathleen Wonacott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Wonacott reassigns Medicare benefits to Bay Psychology Group Inc (Oakland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Wonacott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kathleen Wonacott was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.