MR. MATTHEW JOHN HOLLAND
NPI 1174804777
Counselor - Mental Health in San Rafael, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Matthew John Holland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Matthew Holland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
SAN RAFAEL, CA 94903
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.
Which organization bills Medicare for Matthew Holland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Holland reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Holland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Matthew Holland was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Matthew John Holland · NPI 1174804777
Mental Health provider in San Rafael, California. Individual provider, active in the CMS NPPES registry since September 9, 2011.
## Identity
- **NPI:** 1174804777 (Entity type: Individual)
- **Enumerated:** September 9, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 555 NORTHGATE DR, FAMILY SERVICES AGENCY OF MARIN, San Rafael, CA 94903-3680
- **Phone:** (415) 491-5702
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174804777) · Data from the CMS NPPES public registry.