COMMUNITY ACTION MARIN (NPI# 1912431271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912431271 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION MARIN |
| Practice Address |
3207 Kerner Boulebvard San Rafael CA 94901-3507 |
| Mailing Address |
555 Northgate Drive #201 Second Floor San Rafael CA 94903-3507 |
| Practice Telephone | 4154736004 |
| Mailing Telephone | 4155267514 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-10-26 |
| Authorized Official Name | LAUREL HILL (VP FAMILY & COMMUNITY SERVICES) |
| Authorized Official Telephone | 4155267500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1730613324 | Community Action Marin | Counselor | 3270 Kerner Blvd, San Rafael, CA 94901-4840 | 2017-04-20 |
| 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 |
| 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 |
| Street Address |
3207 KERNER BOULEBVARD |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-3507 |
| 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 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 |
| 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 |
| 1255628426 | Ashley M Forrest | Counselor | 1466 Lincoln Ave., San Rafael, CA 94901-2021 | 2011-07-07 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on COMMUNITY ACTION MARIN.
| 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.