MR. JEFFERY K ALLEN JR. MA
NPI 1659852648
Counselor - Mental Health in Oakland, CA

Q: What is Jeffery Allen's NPI number?

The NPI number for Jeffery Allen is 1659852648. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Q: What is Jeffery Allen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffery Allen was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 27, 2018PECOS Enrolled

1212 BROADWAY STE 1200, OAKLAND, CA 94612(855) 427-2778(510) 834-2045 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2022, Feb 3, 2022, Feb 11, 2021 and 1 more (4 updates tracked since 2018).

On this page

About Mr. Jeffery K Allen Jr. Ma NPPES

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

MR. JEFFERY K ALLEN JR. MA (NPI 1659852648) is an individual mental health provider in Oakland, California, licensed in California (10945) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659852648

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JEFFERY K ALLEN JR.Credential: MA

Location Address1212 BROADWAY STE 1200Oakland, CA 94612-1814

Mailing Address1465 165th Ave Apt 111San Leandro, CA 94578-3141 · (706) 817-5123

Phone(855) 427-2778

Fax(510) 834-2045

Sole ProprietorNo

Enumeration DateAugust 27, 2018

Last NPPES UpdateOctober 26, 20224 updates tracked since enumeration

NPPES CertifiedOctober 24, 2022

✔ NPI 1659852648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 10945

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

1212 BROADWAY STE 1200, Oakland, CA 94612

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Secondary Practice Locations 2

Location 11510 Via SonyaSan Lorenzo, CA 94580-2760 · Phone (510) 317-5000

Location 23450 3rd St Ste 1CSan Francisco, CA 94124-1444 · Phone (415) 437-3990

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffery K Allen Jr. Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jeffery Allen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

9.4 mi

Internal Medicine

2238 GEARY
San Francisco, CA 94116

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1841373800 (415) 833-2200

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

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

CHANELLE RAMSUBICK MD

Psychiatry & Neurology (Psychiatry)

1212 BROADWAY STE 1200
OAKLAND, CA 94612

Alameda County (646) 820-5167

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 Jeffery Allen's NPI number?

The NPI number for Jeffery Allen is 1659852648. It was assigned to this individual provider in the NPPES registry on August 27, 2018.

Where is Jeffery Allen located?

Jeffery Allen practices at 1212 Broadway Ste 1200, Oakland, CA 94612. The listed phone number is (855) 427-2778.

What is Jeffery Allen's specialty?

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

Is Jeffery Allen enrolled in Medicare?

Yes. Jeffery Allen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffery Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Allen reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, 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 Jeffery Allen'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 Jeffery Allen was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.