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

Active since April 04, 2020
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: July 19, 2026.

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

  • Individual
  • Female
  • Marriage & Family Therapist
  • Opted-Out Medicare

About STEPHANIE COLEMAN

This page provides the complete NPI Profile along with additional information for Stephanie Coleman, a provider established in Corte Madera, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1114556834 assigned on April 2020. The practitioner's primary taxonomy code is 106H00000X with license number 49518 (CA). The provider is registered as an individual and her NPI record was last updated June 2026.

NPI
1114556834 Verify this NPI
Provider Name
STEPHANIE PATRYCE COLEMAN
Gender
Female
Entity Type
Individual
Location Address
6 FAIRVIEW AVE CORTE MADERA, CA 94925
Location Phone
(415) 820-1512
Mailing Address
1679 JACKMAN ST PORT TOWNSEND, WA 98368
Mailing Phone
(415) 820-1512
Is Sole Proprietor?
Yes
Enumeration Date
04-04-2020
Last Update Date
06-17-2026
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A marriage and family therapist like Stephanie Coleman help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Stephanie Coleman opted out of Medicare effective on 01-01-2024 until 01-01-2028. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
49518
License State
CA
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-01-2024

  • Opt-Out End Date: 01-01-2028

  • Eligible to Order and Refer? No

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114556834, enumerated as an "individual" on April 04, 2020.

The provider is located at 6 FAIRVIEW AVE CORTE MADERA, CA 94925 and the phone number is (415) 820-1512.

Marriage & Family Therapist with taxonomy code 106H00000X.