ALEXIS MARIE CRISSEY
NPI 1124450358
Counselor - Mental Health in San Rafael, CA

Q: What is Alexis Crissey's NPI number?

The NPI number for Alexis Crissey is 1124450358. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Q: What is Alexis Crissey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Alexis Crissey enrolled in Medicare?

No. Alexis Crissey 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.

Q: When was this NPI record last updated?

The NPPES record for Alexis Crissey was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.

Active since July 30, 2013Opted out of Medicare · through Jan 1, 2028

555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN, SAN RAFAEL, CA 94903(408) 313-7682(415) 491-5750 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alexis Marie Crissey NPPES

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

ALEXIS MARIE CRISSEY (NPI 1124450358) is an individual mental health provider in San Rafael, California and active in the NPI registry since July 2013. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1124450358

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALEXIS MARIE CRISSEY

Location Address555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARINSan Rafael, CA 94903-3696

Mailing Address555 Northgate Dr Ste 100, Family Service Agency Of MarinSan Rafael, CA 94903-3696 · (408) 313-7682 · Fax (415) 491-5750

Phone(408) 313-7682

Fax(415) 491-5750

Sole ProprietorYes

Enumeration DateJuly 30, 2013

✔ NPI 1124450358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

555 NORTHGATE DR STE 100, San Rafael, CA 94903

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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

Alexis Marie Crissey 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

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.

SARA CHAMBERS M.A.

Counselor (Mental Health)

555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

MISS ERIN HIEBSCH MA

Counselor (Mental Health)

555 NORTHGATE DR STE 100, FAMILY SERVICES AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

AVITAL SCHLESINGER

Counselor (Mental Health)

555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

MARGARET RUSSELL

Marriage & Family Therapist

555 NORTHGATE DR STE 100
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

PAIGE PIRES DE ALMEIDA

Counselor (Mental Health)

555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

MS. MARLEEN LIESBETH ROSMARK

Counselor (Mental Health)

555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

ABIGAIL RODRIGUEZ

Student in an Organized Health Care Education/Training Program

555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (816) 797-9012

KAITLYN ALLYCE MCNAMEE

Counselor (Mental Health)

555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

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 Alexis Crissey's NPI number?

The NPI number for Alexis Crissey is 1124450358. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Where is Alexis Crissey located?

Alexis Crissey practices at 555 Northgate Dr Ste 100 Family Service Agency Of Marin, San Rafael, CA 94903. The listed phone number is (408) 313-7682.

What is Alexis Crissey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Alexis Crissey enrolled in Medicare?

No. Alexis Crissey 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 Alexis Crissey was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.