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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENNEDY MARYALICE DORA B.S CRIMINAL JUSTICE
NPI 1205734365
Counselor in San Anselmo, CA

Active since October 28, 2026
300 SUNNYHILLS DR, SAN ANSELMO, CA 94960(415) 457-7601 Get Directions Write a Review

NPPES record added: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kennedy Maryalice Dora B.s Criminal Justice NPPES

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

KENNEDY MARYALICE DORA B.S CRIMINAL JUSTICE (NPI 1205734365) is an individual counselor in San Anselmo, California, licensed in California (Y8823331) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1205734365
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKENNEDY MARYALICE DORACredential: B.S CRIMINAL JUSTICE
Location Address300 SUNNYHILLS DRSan Anselmo, CA 94960-1909
Mailing Address300 Sunnyhills DrSan Anselmo, CA 94960-1909 · (415) 457-7601
Phone(415) 457-7601
Sole ProprietorYes
Enumeration DateOctober 28, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1205734365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in CA · Y8823331
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
300 SUNNYHILLS DR, San Anselmo, CA 94960
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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.

CHRISTINE ANN SPINDA
Marriage & Family Therapist
300 SUNNYHILLS DR
SAN ANSELMO, CA 94960
Marin County (916) 509-0021
STEPHANIE BURNS BURNS
Counselor
300 SUNNYHILLS DR
SAN ANSELMO, CA 94960
Marin County (415) 457-3200
KIM SEDGWICK CONNOLLY LMFT
Marriage & Family Therapist
300 SUNNYHILLS DR
SAN ANSELMO, CA 94960
Marin County (415) 457-3200
ALEXIS SPALDING
Counselor (Addiction (Substance Use Disorder))
300 SUNNYHILLS DR
SAN ANSELMO, CA 94960
Marin County (415) 457-3200
MS. JUDITH ANNE FRANKEL
Counselor (Mental Health)
300 SUNNYHILLS DR
SAN ANSELMO, CA 94960
Marin County (415) 457-3200
ANGELA M FRANCO GOMEZ
Marriage & Family Therapist
300 SUNNYHILLS DR
SAN ANSELMO, CA 94960
Marin County (415) 457-3200
KEVIN SCHILTZ RADT
Counselor (Addiction (Substance Use Disorder))
300 SUNNYHILLS DR
SAN ANSELMO, CA 94960
Marin County (415) 686-4070
BURRELL SPEIGHTS
Counselor
300 SUNNYHILLS DR
SAN ANSELMO, CA 94960
Marin County (415) 457-3200

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 Kennedy Dora's NPI number?

The NPI number for Kennedy Dora is 1205734365. It was assigned to this individual provider in the NPPES registry on October 28, 2026.

Where is Kennedy Dora located?

Kennedy Dora practices at 300 Sunnyhills Dr, San Anselmo, CA 94960. The listed phone number is (415) 457-7601.

What is Kennedy Dora's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kennedy Dora was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.