CAROL-ANNE PUGLIESE (NPI# 1578069001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578069001 |
| Entity Type | Individual |
| Full Name | CAROL-ANNE PUGLIESE |
| Practice Address |
1 Saint Vincents Dr San Rafael CA 94903-1504 |
| Mailing Address |
829a Menges St Sausalito CA 94965-2622 |
| Practice Telephone | 4155072000 |
| Mailing Telephone | 5163181663 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
96384 | CA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
96384 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 SAINT VINCENTS DR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770688582 | Sonia Raquel Cavazos | Marriage & Family Therapist | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2006-09-14 |
| 1760039069 | Anyssa N Haberkorn-gomez | Student in an Organized Health Care Education/Training Program | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-08-21 |
| 1205309366 | Nancy Freitas Lambert | Psychologist | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-01-10 |
| 1710450960 | Joseph Anthony Emard | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2019-01-09 |
| 1902378482 | Catherine Serrano Florendo | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-12-21 |
| 1619452471 | Kathryn Dulay Wisniewski | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903-1504 | 2018-09-27 |
| 1356829287 | Christine Lewis | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-08-02 |
| 1285126201 | Lauraleigh Carol Hungerford | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-06-05 |
| 1194217117 | Reanne Elise Remlinger | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-06-05 |
| 1467942243 | Monique Mercado | Counselor | 1 Saint Vincents Dr, San Rafael, CA 94903 | 2018-05-16 |
| 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 | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| 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 | ||||
| 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.