MRS. SUSAN LEORA LEONARD


Address: 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680
Phone: 4154915707

MRS. SUSAN LEORA LEONARD (NPI# 1497828818) 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) 1497828818
Entity Type Individual
Full Name MRS. SUSAN LEORA LEONARD
Credential MFT
Practice Address 555 Northgate Dr
Family Service Agency of Marin
San Rafael
CA 94903-3680
Practice Telephone 4154915707
Practice Fax Number 4154911470
Mailing Telephone 4154915707
Mailing Fax Number 4154911470
Enumeration Date 2006-11-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
28553 CA Behavioral Health & Social Service Providers
X 101YM0800X Counselor
Specialization: Mental Health
28553 CA Behavioral Health & Social Service Providers

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Office Location

Street Address 555 NORTHGATE DR
FAMILY SERVICE AGENCY OF MARIN
City SAN RAFAEL
State CA
Zip Code 94903-3680

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548270267 Family Service Agency of Marin Clinic/Center 555 Northgate Dr, San Rafael, CA 94903-3680 2006-08-08
1851807077 Jose Luis Tijero Jr. Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2017-12-26
1952845869 Jessica Copeland Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2016-12-12
1235599036 Connie Mann Counselor 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 2016-03-07
1932595683 Stephanie Schuman Counselor 555 Northgate Dr, Suite 200, San Rafael, CA 94903-3680 2015-04-09
1285043620 Megan Fuller O'donnell Counselor 555 Northgate Dr, Suite 100 Family Service Agency of Marin, San Rafael, CA 94903-3680 2014-08-11
1801147103 Marion Turner-riley Counselor 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 2012-09-26
1801147616 Teresa Michelle Vera Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2012-09-20
1629326798 Stephanie Claire Lai Counselor 555 Northgate Dr, Suite 100, San Rafael, CA 94903-3680 2012-08-21
1831460476 Joanne Forman Counselor 555 Northgate Dr, San Rafael, CA 94903-3680 2012-01-12
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912542457 Stephen Lochrane Prince Counselor 10 N San Pedro Rd Ste 1015, San Rafael, CA 94903-4155 2019-11-07
1912463332 Jenna Roth Ring Counselor 1005 Northgate Dr # 115, San Rafael, CA 94903-2500 2019-02-11
1194263228 Daron Austin Counselor 710 C St Ste 8, San Rafael, CA 94901-3853 2017-02-09
1427507789 Full Circle Addiction and Recovery Services Counselor 1104 Lincoln Ave, San Rafael, CA 94901-3245 2016-09-28
1750744637 Karen Witt Counselor 110 Plymouth Cv, San Rafael, CA 94901-4461 2016-03-30
1952763724 Donald Lee Merriam IIi Counselor 603 D Street, San Rafael, CA 94901 2016-03-22
1912367236 Felipe Perez Counselor 710 C Street, Suite 7, San Rafael, CA 94901 2016-02-29
1568839926 Jenna Kerler Counselor 22 San Pablo Ave Apt 2, San Rafael, CA 94903-4122 2015-09-01
1598159790 James Paul Goss IIi Counselor 1005 A St Ste 209, San Rafael, CA 94901-3127 2015-03-25
1053702787 Marin Outpatient Recovery Services Counselor 11 Albion St, San Rafael, CA 94901-5201 2015-02-17
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Competitor

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City SAN RAFAEL
Zip Code 94903

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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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