COUNTY OF MARIN (NPI# 1912116252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912116252 |
Entity Type | Organization |
Organization Name | COUNTY OF MARIN |
Other Organization Name | MENTAL HEALTH AND SUBSTANCE USE SERVICES |
Practice Address |
10 N San Pedro Rd Suites 1015, 1018, 1019 San Rafael CA 94903-4178 |
Mailing Address |
20 North San Pedro Road Suite 2021 San Rafael CA 94903-4158 |
Practice Telephone | 4154733030 |
Practice Fax Number | 4154737008 |
Mailing Telephone | 4154733030 |
Mailing Fax Number | 4154737008 |
Enumeration Date | 2007-05-22 |
Last Update Date | 2015-07-31 |
Authorized Official Name | MS. DONNA JEAN PIERCE (CHIEF ALCOHOL DRUG AND TOBACCO PROG) |
Authorized Official Telephone | 4154736652 |
Authorized Official Credential | OTR |
Is Organization Subpart | Y |
Parent Organization Name | COUNTY OF MARIN |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Other Name | Type Code |
---|---|
Mental Health and Substance Use Services | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891968855 | County of Marin | Clinic/Center | 3270 Kerner Boulevard, Building A, San Rafael, CA 94901-4841 | 2008-04-10 |
1326258856 | County of Marin | Clinic/Center | 10 North San Pedro, Suite 1020, San Rafael, CA 94903-4178 | 2007-05-23 |
1366507295 | County of Marin | Clinic/Center | 3230 Kerner Boulevard, San Rafael, CA 94901-4841 | 2006-12-22 |
1568525699 | County of Marin | Clinic/Center | 250 Bon Air, Greenbrae, CA 94904-1702 | 2006-12-19 |
1356404586 | County of Marin | Clinic/Center | 1 6th Street, Point Reyes Station, CA 94956 | 2006-12-19 |
1386644797 | County of Marin | Ambulance | 33 Castle Rock, Woodacre, CA 94973 | 2005-07-28 |
1841787009 | County of Marin | Clinic/Center | 1682 Novato Blvd Ste 105, Novato, CA 94947-7021 | 2018-04-13 |
1679081335 | County of Marin | Clinic/Center | 1682 Novato Blvd Ste 105, Novato, CA 94947-7021 | 2018-01-16 |
1881065332 | County of Marin | Clinic/Center | 3230 Kerner Blvd, San Rafael, CA 94901-4840 | 2015-10-09 |
1659448074 | County of Marin | Clinical Medical Laboratory | 920 Grand Ave, San Rafael, CA 94901-3506 | 2006-11-29 |
Street Address |
10 N SAN PEDRO RD SUITES 1015, 1018, 1019 |
City | SAN RAFAEL |
State | CA |
Zip Code | 94903-4178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033223755 | Marne Anne Burgess | Nurse Practitioner | 10 N San Pedro Rd, Suite 1020, San Rafael, CA 94903-4178 | 2006-08-19 |
1700234713 | Marin Behavioral Health and Recovery Services | Clinic/Center | 10 N San Pedro Rd, Suite 1015, 1018, and 1019, San Rafael, CA 94903-4178 | 2016-05-31 |
1841656915 | Monica Vu | Counselor | 10 N San Pedro Rd, San Rafael, CA 94903-4178 | 2016-01-05 |
1912397605 | Jane Kathryn Ireland | Marriage & Family Therapist | 10 N San Pedro Rd, Suite 1020, San Rafael, CA 94903-4178 | 2015-02-02 |
1912256603 | Karen Ward | Counselor | 10 N San Pedro Rd, 1020, San Rafael, CA 94903-4178 | 2012-09-10 |
1861754160 | Cecilia G Castaneda | Case Manager/Care Coordinator | 10 N San Pedro Rd, San Rafael, CA 94903-4178 | 2012-06-12 |
1427325695 | Laurie Margaret Hunt | Marriage & Family Therapist | 10 N San Pedro Rd, San Rafael, CA 94903-4178 | 2011-11-16 |
1922311174 | Jennifer Dawn Tripathy | Marriage & Family Therapist | 10 N San Pedro Rd, Suite 1020, San Rafael, CA 94903-4178 | 2010-07-16 |
1962681163 | Denise Marie Caramagno | Counselor | 10 N San Pedro Rd, #1020, San Rafael, CA 94903-4178 | 2007-10-24 |
1609097385 | Alexander Q Dang | Marriage & Family Therapist | 10 N San Pedro Rd, Suite 1020, San Rafael, CA 94903-4178 | 2007-05-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
Find all providers in zip 94903 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396396826 | Family Matters of Marin | Community/Behavioral Health | 1346 4th St Ste 202, San Rafael, CA 94901-2860 | 2019-09-25 |
1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
1144687302 | Ritter Center | Community/Behavioral Health | 190 Mill St, Dining Room, San Rafael, CA 94901-4021 | 2016-01-19 |
1619362662 | Center Point, Inc. | Community/Behavioral Health | 199 Mill St., San Rafael, CA 94901 | 2015-04-06 |
1902204597 | Dba Nancy Freitas Lambert Psyd | Community/Behavioral Health | 1330 Lincoln Ave Ste 102b, San Rafael, CA 94901-2141 | 2014-12-12 |
1669878765 | Seneca Family of Agencies | Community/Behavioral Health | 25 W Castlewood Dr, San Rafael, CA 94901-2538 | 2014-11-17 |
1396141198 | Seneca Family of Agencies | Community/Behavioral Health | 177 N San Pedro Rd, San Rafael, CA 94903-4200 | 2014-11-06 |
1376957373 | Shana Gaviglio Kenney | Community/Behavioral Health | 1665 Grand Ave, San Rafael, CA 94901-2211 | 2014-06-17 |
1104256411 | John Hamel & Associates | Community/Behavioral Health | 28 Upper Oak Dr, San Rafael, CA 94903-1732 | 2013-11-22 |
1093073876 | Bay Area Community Resources, Inc | Community/Behavioral Health | 3240 Kerner Blvd, San Rafael, CA 94901-4840 | 2012-04-30 |
Find all providers in SAN RAFAEL |
City | SAN RAFAEL |
Zip Code | 94903 |
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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.