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ADAM COHEN MA, LMFT, PCCI
NPI 1295273449
Marriage & Family Therapist in San Rafael, CA

Active since February 08, 2017Opted out of Medicare · through Mar 13, 2028
711 D ST STE 207, SAN RAFAEL, CA 94901(415) 967-3620 Get Directions Write a Review

NPPES record last updated: August 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2017, Feb 8, 2017 (2 updates tracked since 2017).

About Adam Cohen Ma, Lmft, Pcci NPPES

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

ADAM COHEN MA, LMFT, PCCI (NPI 1295273449) is an individual marriage & family therapist in San Rafael, California, licensed in California (100626) and active in the NPI registry since February 2017. He has opted out of Medicare through March 13, 2028.

NPPES Registry Identity

NPI1295273449
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameADAM COHENCredential: MA, LMFT, PCCI
Location Address711 D ST STE 207San Rafael, CA 94901-3704
Mailing AddressPo Box 170273San Francisco, CA 94117-0273 · (415) 967-3620
Phone(415) 967-3620
Sole ProprietorYes
Enumeration DateFebruary 8, 2017
Last NPPES UpdateAugust 10, 20172 updates tracked since enumeration
✔ NPI 1295273449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 100626
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License PCCI 2117 (CA)
711 D ST STE 207, San Rafael, CA 94901
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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

Adam Cohen Ma, Lmft, Pcci 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 March 13, 2024 through March 13, 2028.

Opt-Out Effective DateMarch 13, 2024
Opt-Out In Effect ThroughMarch 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

DR. MARY CHRISTINE GAZULIS PHD
Psychologist (Clinical)
711 D ST STE 207
SAN RAFAEL, CA 94901
Marin County (415) 646-0822

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 Adam Cohen's NPI number?

The NPI number for Adam Cohen is 1295273449. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Where is Adam Cohen located?

Adam Cohen practices at 711 D St Ste 207, San Rafael, CA 94901. The listed phone number is (415) 967-3620.

What is Adam Cohen's specialty?

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

Is Adam Cohen enrolled in Medicare?

No. Adam Cohen has opted out of Medicare through March 13, 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 Adam Cohen was last updated on August 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.