MEDICARE: ELEANORA MERTZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144187386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELEANORA MERTZ

Provider Business Mailing Address
First Line	:	4212 ARROYUELO AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-4303
Country	:	US
Telephone Number	:	510-332-8905
Fax Number	:

Provider Business Practice Location Address
First Line	:	5880 THORNHILL DR
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-2147
Country	:	US
Telephone Number	:	510-879-2157
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ ELEANORA MERTZ ” Practice Location

Language	Start Address	Practice Location

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