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TAMARA ICE
NPI 1356487771
Marriage & Family Therapist in Sebastopol, CA

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
820 GRAVENSTEIN AVE STE 200, SEBASTOPOL, CA 95472(707) 522-0473 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tamara Ice NPPES

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

TAMARA ICE (NPI 1356487771) is an individual marriage & family therapist in Sebastopol, California, licensed in California (IMF44768) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1356487771
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTAMARA ICE
Location Address820 GRAVENSTEIN AVE STE 200Sebastopol, CA 95472-4557
Mailing Address8684 Trenton RdForestville, CA 95436-9657
Phone(707) 522-0473
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 30, 2007
Last NPPES UpdateMarch 30, 2012
✔ NPI 1356487771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · IMF44768
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.
820 GRAVENSTEIN AVE STE 200, Sebastopol, CA 95472
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tamara Ice is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012360985
PECOS Enrollment IDI20240126001781
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.

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 Tamara Ice's NPI number?

The NPI number for Tamara Ice is 1356487771. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Tamara Ice located?

Tamara Ice practices at 820 Gravenstein Ave Ste 200, Sebastopol, CA 95472. The listed phone number is (707) 522-0473.

What is Tamara Ice's specialty?

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

Is Tamara Ice enrolled in Medicare?

Yes. Tamara Ice is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tamara Ice was last updated on March 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.