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JEANNINE NICOLE ANDERSON
NPI 1578250072
Peer Specialist in Oakland, CA

Active since April 24, 2023
390 40TH ST, OAKLAND, CA 94609(510) 613-0330 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeannine Nicole Anderson NPPES

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

JEANNINE NICOLE ANDERSON (NPI 1578250072) is an individual peer specialist in Oakland, California and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1578250072
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJEANNINE NICOLE ANDERSON
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address390 40th StOakland, CA 94609-2633 · (510) 613-0330
Phone(510) 613-0330
Sole ProprietorYes
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1578250072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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 Jeannine Anderson's NPI number?

The NPI number for Jeannine Anderson is 1578250072. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Jeannine Anderson located?

Jeannine Anderson practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 613-0330.

What is Jeannine Anderson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jeannine Anderson was last updated on April 24, 2023. 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.