MR. MATTHEW JOHN HOLLAND
NPI 1174804777
Counselor - Mental Health in San Rafael, CA

Active since September 09, 2011PECOS Enrolled
555 NORTHGATE DR, FAMILY SERVICES AGENCY OF MARIN, SAN RAFAEL, CA 94903(415) 491-5702 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Matthew John Holland NPPES

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

MR. MATTHEW JOHN HOLLAND (NPI 1174804777) is an individual mental health provider in San Rafael, California and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174804777
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MATTHEW JOHN HOLLAND
Location Address555 NORTHGATE DR, FAMILY SERVICES AGENCY OF MARINSan Rafael, CA 94903-3680
Mailing Address555 Northgate Dr, Family Services Agency Of MarinSan Rafael, CA 94903-3680
Sole ProprietorYes
Enumeration DateSeptember 9, 2011
Last NPPES UpdateFebruary 11, 2022
NPI 1174804777 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, San Rafael, CA 94903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Matthew John Holland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Community/Behavioral Health
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Counselor (Mental Health)
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Counselor
555 NORTHGATE DR
SAN RAFAEL, CA 94903
Counselor (Mental Health)
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Counselor (Mental Health)
555 NORTHGATE DR, FAMILY SERVICE AGENCY
SAN RAFAEL, CA 94903
Marriage & Family Therapist
555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Counselor (Mental Health)
555 NORTHGATE DR
SAN RAFAEL, CA 94903

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 Matthew Holland's NPI number?

The NPI number for Matthew Holland is 1174804777. It was assigned to this individual provider in the NPPES registry on September 9, 2011.

Where is Matthew Holland located?

Matthew Holland practices at 555 Northgate Dr Family Services Agency Of Marin, San Rafael, CA 94903. The listed phone number is (415) 491-5702.

What is Matthew Holland's specialty?

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

Is Matthew Holland enrolled in Medicare?

Yes. Matthew Holland is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Holland was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.