MS. ANNELI KIM RICHARDS MS
NPI 1003984949
Counselor - Mental Health in San Rafael, CA

Active since November 30, 2006
171 CARLOS DR, BAY AREA COMMUNITY RESOURCES, SAN RAFAEL, CA 94903(415) 444-5580(415) 444-5598 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Anneli Kim Richards Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANNELI KIM RICHARDS MS (NPI 1003984949) is an individual mental health provider in San Rafael, California, licensed in California (MFTI42350) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1003984949
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. ANNELI KIM RICHARDSCredential: MS
Location Address171 CARLOS DR, BAY AREA COMMUNITY RESOURCESSan Rafael, CA 94903-2005
Mailing Address36 Santa Barbara AveSan Anselmo, CA 94960-1628 · (415) 272-1302
Fax(415) 444-5598
Sole ProprietorNo
Enumeration DateNovember 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003984949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · MFTI42350
171 CARLOS DR, San Rafael, CA 94903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Anneli Kim Richards Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2026.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
171 CARLOS DR
SAN RAFAEL, CA 94903
Marriage & Family Therapist
171 CARLOS DR
SAN RAFAEL, CA 94903
Marriage & Family Therapist
171 CARLOS DR
SAN RAFAEL, CA 94903
Counselor (Addiction (Substance Use Disorder))
171 CARLOS DR
SAN RAFAEL, CA 94903
Counselor (Mental Health)
171 CARLOS DR
SAN RAFAEL, CA 94903
Counselor (Addiction (Substance Use Disorder))
171 CARLOS DR
SAN RAFAEL, CA 94903
Counselor (Addiction (Substance Use Disorder))
171 CARLOS DR
SAN RAFAEL, CA 94903
Counselor (Addiction (Substance Use Disorder))
171 CARLOS DR
SAN RAFAEL, CA 94903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003984949, enumerated as an "individual" on November 30, 2006.

The provider is located at 171 CARLOS DR BAY AREA COMMUNITY RESOURCES SAN RAFAEL, CA 94903 and the phone number is (415) 444-5580.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.