COMMUNITY ACTION MARIN


Address: 3270 Kerner Blvd, San Rafael, CA 94901-4840
Phone: 4154736004

COMMUNITY ACTION MARIN (NPI# 1730613324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730613324
Entity Type Organization
Organization Name COMMUNITY ACTION MARIN
Practice Address 3270 Kerner Blvd
San Rafael
CA 94901-4840
Mailing Address 555 Northgate Drive #201
Second Floor
San Rafael
CA 94903-3507
Practice Telephone 4154736004
Mailing Telephone 4155267514
Enumeration Date 2017-04-20
Last Update Date 2019-10-26
Authorized Official Name LAUREL HILL (VP FAMILY & COMMUNITY SERVICES)
Authorized Official Telephone 4155267500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912431271 Community Action Marin Counselor 3207 Kerner Boulebvard, San Rafael, CA 94901-3507 2017-04-13
1285823617 Community Action Marin Contractor 555 Northgate Dr Ste 201, San Rafael, CA 94903-3696 2007-10-22
1437286879 Community Action Marin Case Management 555 Northgate Blvd., Suite 201, San Rafael, CA 94903 2007-02-27
1952568347 Community Action Marin Counselor 3230 Kerner Blvd, San Rafael, CA 94901 2008-05-22
1528195963 Community Action Marin Case Management 250 Bon Air Rd, Greenbrae, CA 94904-1702 2007-02-27
1346377785 Community Action Marin Case Management 250 Bon Air Rd, Greenbrae, CA 94904-1702 2007-02-27
1922134402 Community Action Marin Case Management 3270 Kerner Blvd, Building A, Suite C, San Rafael, CA 94901-4840 2007-02-26
1629104112 Community Action Marin Case Management 3270 Kerner Blvd, Building A, Suite C, San Rafael, CA 94901-4840 2007-02-26
1982749685 Community Action Marin Case Management 3270 Kerner Blvd, Building A, San Rafael, CA 94901-4840 2007-02-20

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities COMMUNITY ACTION MARIN 555 Northgate Dr Ste 201, San Rafael, CA 94903-3696

Office Location

Street Address 3270 KERNER BLVD
City SAN RAFAEL
State CA
Zip Code 94901-4840

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730108549 Kristine Y Kwok Social Worker 3270 Kerner Blvd, San Rafael, CA 94901-4840 2006-07-19
1124655014 Nhan Pham Case Manager/Care Coordinator 3270 Kerner Blvd, San Rafael, CA 94901-4840 2020-03-23
1609409481 Maggie M Mclain Marriage & Family Therapist 3270 Kerner Blvd, San Rafael, CA 94901-4840 2020-02-19
1588219786 Scott Casey Berger Student in an Organized Health Care Education/Training Program 3270 Kerner Blvd, San Rafael, CA 94901-4840 2019-08-05
1215581368 Kevin Omar Rodriguez Student in an Organized Health Care Education/Training Program 3270 Kerner Blvd, San Rafael, CA 94901-4840 2019-07-26
1821578196 Carrie Coats Counselor 3270 Kerner Blvd, San Rafael, CA 94901 2018-08-16
1659858405 Veronica Ponce Rehabilitation Practitioner 3270 Kerner Blvd, San Rafael, CA 94901-4840 2018-07-24
1619401650 Sherry Ann Bradley Counselor 3270 Kerner Blvd, San Rafael, CA 94901-4840 2017-04-17
1326581422 Jose Cesar Leiva Rehabilitation Practitioner 3270 Kerner Blvd, San Rafael, CA 94901-4840 2016-11-22
1295286243 Trien Nguyen Counselor 3270 Kerner Blvd, Suite B, San Rafael, CA 94901-4840 2016-10-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780207134 Marianne Haissman Stefancic Marriage & Family Therapist 409 Forbes Ave., San Rafael, CA 94901 2020-05-20
1093292765 Marin Community Clinic Clinic/Center 411 4th Strteet, Suite A, San Rafael, CA 94901 2018-07-25
1275052516 Laura Ellen Silverstein Marriage & Family Therapist 600 Fifth Avenue, San Rafael, CA 94901 2017-09-19
1689101107 Marin Family Recovery Clinic/Center 1209 Third St. Ste 4, San Rafael, CA 94901 2017-05-15
1376070011 Tencia Beavers-sanchez Counselor 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 2017-05-12
1326584905 Jamie Waterman Emergency Medical Technician, Basic 675 Sir Francis Drake Blvd, Kentfield, CA 94901 2017-01-06
1295270676 Stephen Marks Counselor 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 2016-12-21
1497299812 Vesna Sturman Psychologist 712 D St Ste L, San Rafael, CA 94901 2016-12-05
1063955771 Carol Dutton Hollenberg Behavior Technician 503 D St., San Rafael, CA 94901 2016-11-29
1083069447 Bay Area Community Resources Community/Behavioral Health 103 Shoreline Parkway, San Rafael, CA 94901 2016-05-04
Find all providers in zip 94901

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467089524 Christopher Sazo Counselor 1 St. Vincents Drive, San Rafael, CA 94903 2020-03-26
1548789464 Michael Robins Counselor 1401 Los Gamos Dr # 204, San Rafael, CA 94903-1809 2017-09-12
1912431271 Community Action Marin Counselor 3207 Kerner Boulebvard, San Rafael, CA 94901-3507 2017-04-13
1871047597 Joseph Dela Vega Counselor 361 3rd St Ste B, San Rafael, CA 94901-3580 2016-08-10
1588117808 Jessica Noelle Panoski Counselor 1403 Los Gamos, San Rafael, CA 95403 2016-08-03
1588043731 Chelsea Cooney Counselor 1 St. Vincent's Drive, San Rafael, CA 94903 2015-05-20
1194149260 Kathryn Harrison Solana Counselor 3100 Kerner Blvd Ste C1, San Rafael, CA 94901-5445 2014-02-10
1588904403 Jose Alfredo Escobar Counselor 1 St. Vincent Drive, San Rafael, CA 94903 2013-03-01
1508126939 Amit Singh Counselor 7 Le Claire Ct, San Rafael, CA 94903-3526 2012-05-18
1316211311 Denia C Briggs Counselor 1 Saint Vincents Drive, San Rafael, CA 94903-1504 2012-03-08
Find all providers in SAN RAFAEL

Competitor

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City SAN RAFAEL
Zip Code 94901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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