JEANELLE ROOS SUDRC
NPI 1649136128
Counselor - Addiction (Substance Use Disorder) in Oakland, CA

Active since December 29, 2025
1342 E 27TH ST, OAKLAND, CA 94606(510) 535-0611 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeanelle Roos Sudrc NPPES

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

JEANELLE ROOS SUDRC (NPI 1649136128) is an individual addiction (substance use disorder) provider in Oakland, California, licensed in California (22398) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1649136128
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJEANELLE ROOSCredential: SUDRC
Location Address1342 E 27TH STOakland, CA 94606-3266
Mailing Address20556 Fuchsia CtCherryland, CA 94541-1803 · (510) 605-2721
Sole ProprietorNo
Enumeration DateDecember 29, 2025
Last NPPES UpdateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
NPI 1649136128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 22398
1342 E 27TH ST, Oakland, CA 94606

Other Providers at the Same Location NPPES 6

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

Counselor (Addiction (Substance Use Disorder))
1342 E 27TH ST
OAKLAND, CA 94606
Counselor (Addiction (Substance Use Disorder))
1342 E 27TH ST
OAKLAND, CA 94606
Community Based Residential Treatment Facility, Mental Illness
1342 E 27TH ST
OAKLAND, CA 94606
Substance Abuse Rehabilitation Facility
1342 E 27TH ST
OAKLAND, CA 94606
Counselor (Addiction (Substance Use Disorder))
1342 E 27TH ST
OAKLAND, CA 94606
Counselor (Addiction (Substance Use Disorder))
1342 E 27TH ST
OAKLAND, CA 94606

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 Jeanelle Roos's NPI number?

The NPI number for Jeanelle Roos is 1649136128. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Jeanelle Roos located?

Jeanelle Roos practices at 1342 E 27th St, Oakland, CA 94606. The listed phone number is (510) 535-0611.

What is Jeanelle Roos's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jeanelle Roos was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.