MS. RAYNE JANE BANNECK M.S.
NPI 1174989230
Marriage & Family Therapist in Oakland, CA

Active since January 05, 2016Opted out of Medicare · through Aug 30, 2026
516 OAKLAND AVE, OAKLAND, CA 94611(510) 838-0249 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 10, 2019, Jul 10, 2018 and 2 more (5 updates tracked since 2017).

About Ms. Rayne Jane Banneck M.s. NPPES

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

MS. RAYNE JANE BANNECK M.S. (NPI 1174989230) is an individual marriage & family therapist in Oakland, California and active in the NPI registry since January 2016. She has opted out of Medicare through August 30, 2026 and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174989230
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. RAYNE JANE BANNECKCredential: M.S.
Location Address516 OAKLAND AVEOakland, CA 94611-5429
Mailing Address516 Oakland AveOakland, CA 94611-5429 · (510) 838-0249
Sole ProprietorNo
Enumeration DateJanuary 5, 2016
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPI 1174989230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
Also ListedTechnician, OtherTaxonomy 247200000X
516 OAKLAND AVE, Oakland, CA 94611

Other Names 1

Former Name (1)Madeline J Banneck

Secondary Practice Locations 3

Location 13260 Blume Dr Ste 450Richmond, CA 94806-5115 · Phone (510) 262-6551
Location 25900 Hollis St Ste XEmeryville, CA 94608-2008 · Phone (510) 500-5124 ext. 739
Location 32712 Telegraph AveBerkeley, CA 94705 · Phone (510) 548-8283 ext. 112

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Rayne Jane Banneck M.s. 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 August 30, 2024 through August 30, 2026.

Opt-Out Effective DateAugust 30, 2024
Opt-Out In Effect ThroughAugust 30, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

Marriage & Family Therapist
516 OAKLAND AVE
OAKLAND, CA 94611
Marriage & Family Therapist
516 OAKLAND AVE
OAKLAND, CA 94611
Marriage & Family Therapist
516 OAKLAND AVE, SUITE 4
OAKLAND, CA 94611
Marriage & Family Therapist
516 OAKLAND AVE
OAKLAND, CA 94611
Counselor (Professional)
516 OAKLAND AVE
OAKLAND, CA 94611
Marriage & Family Therapist
516 OAKLAND AVE
OAKLAND, CA 94611
Marriage & Family Therapist
516 OAKLAND AVE
OAKLAND, CA 94611
Marriage & Family Therapist
516 OAKLAND AVE
OAKLAND, CA 94611

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 Rayne Banneck's NPI number?

The NPI number for Rayne Banneck is 1174989230. It was assigned to this individual provider in the NPPES registry on January 5, 2016. The provider is also known as Madeline J Banneck.

Where is Rayne Banneck located?

Rayne Banneck practices at 516 Oakland Ave, Oakland, CA 94611. The listed phone number is (510) 838-0249.

What is Rayne Banneck's specialty?

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

Is Rayne Banneck enrolled in Medicare?

No. Rayne Banneck has opted out of Medicare through August 30, 2026. 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 Rayne Banneck was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.