ERNEST GUOMAS (NPI# 1124484712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124484712 |
| Entity Type | Individual |
| Full Name | ERNEST GUOMAS |
| Credential | LMFT |
| Practice Address |
4020 Civic Center Dr San Rafael CA 94903-4173 |
| Practice Telephone | 4154912574 |
| Mailing Telephone | 4154912574 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 22233 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4020 CIVIC CENTER DR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-4173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902910342 | Gail Mosconi | Social Worker | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2006-08-19 |
| 1770120107 | Amy Bower | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2019-12-04 |
| 1205306750 | Kathleen Marie Moran | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2018-11-27 |
| 1871016931 | Keyanna Rene Learson | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2017-07-20 |
| 1972026425 | Deborah Ruth Berenboim | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903 | 2017-07-17 |
| 1568911816 | Dana Perez | Rehabilitation Practitioner | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-09-28 |
| 1629439708 | Samantha Guzowski | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-03-16 |
| 1689035750 | Kimberly Carroll | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-03-16 |
| 1588024608 | Aaron Magee | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-03-02 |
| 1497115034 | Jennifer Andrade | Counselor | 4020 Civic Center Dr, San Rafael, CA 94903-4173 | 2016-02-24 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1568081586 | Leslie Dempsey | Marriage & Family Therapist | 256 Orris Ter, San Rafael, CA 94903-2510 | 2020-04-09 |
| 1548898653 | Rochelle Edwards | Marriage & Family Therapist | 2173 Francisco Blvd E Ste B, San Rafael, CA 94901-5523 | 2020-04-01 |
| 1699232074 | Pamela Meyer | Marriage & Family Therapist | 1330 Lincoln Ave Ste 208d, San Rafael, CA 94901-2142 | 2019-02-21 |
| 1043774052 | Collin Hoctor | Marriage & Family Therapist | 712 D St Ste P, San Rafael, CA 94901-3706 | 2019-01-23 |
| 1568967768 | Paula F Mierzejewski | Marriage & Family Therapist | 710 C St Ste 9, San Rafael, CA 94901-3853 | 2018-03-28 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1114450715 | Jay Stone Rice | Marriage & Family Therapist | 2173 Francisco Blvd E Ste J, San Rafael, CA 94901-5523 | 2017-04-10 |
| 1467997809 | Sara Elizabeth Gardner | Marriage & Family Therapist | 448 Du Bois St, San Rafael, CA 94901-3911 | 2016-12-20 |
| 1740724467 | Lisa Hauck-loy | Marriage & Family Therapist | 1330 Lincoln Ave Ste 306, San Rafael, CA 94901-2143 | 2016-12-14 |
| 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.