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STEPHANIE PATRYCE COLEMAN
NPI 1114556834
Marriage & Family Therapist in Corte Madera, CA

Active since April 04, 2020Opted out of Medicare · through Jan 1, 2028
6 FAIRVIEW AVE, CORTE MADERA, CA 94925(415) 820-1512 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2022, Aug 3, 2021, Apr 4, 2020 (3 updates tracked since 2020).

About Stephanie Patryce Coleman NPPES

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

STEPHANIE PATRYCE COLEMAN (NPI 1114556834) is an individual marriage & family therapist in Corte Madera, California, licensed in California (49518) and active in the NPI registry since April 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1114556834
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSTEPHANIE PATRYCE COLEMAN
Location Address6 FAIRVIEW AVECorte Madera, CA 94925-1604
Mailing Address1679 Jackman StPort Townsend, WA 98368-6027 · (415) 820-1512
Phone(415) 820-1512
Sole ProprietorYes
Enumeration DateApril 4, 2020
Last NPPES UpdateJune 17, 20263 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1114556834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 49518
Definition
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.
6 FAIRVIEW AVE, Corte Madera, CA 94925
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stephanie Patryce Coleman 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, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Coleman's NPI number?

The NPI number for Stephanie Coleman is 1114556834. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Where is Stephanie Coleman located?

Stephanie Coleman practices at 6 Fairview Ave, Corte Madera, CA 94925. The listed phone number is (415) 820-1512.

What is Stephanie Coleman's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Stephanie Coleman enrolled in Medicare?

No. Stephanie Coleman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stephanie Coleman was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.