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

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: August 09, 2026.

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

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
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 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.