COUNTY OF MARIN
NPI 1366507295
Clinic/Center - Adolescent and Children Mental Health in San Rafael, CA

Active since December 22, 2006
3230 KERNER BOULEVARD, SAN RAFAEL, CA 94901(415) 473-2843(415) 473-3080 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About County Of Marin NPPES

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

COUNTY OF MARIN (NPI 1366507295) is a healthcare organization registered as an adolescent and children mental health in San Rafael, California and active in the NPI registry since December 2006. The organization lists Rosanna Lallana, Compliance Privacy Security Ofcr, as its authorized official.

NPPES Registry Identity

NPI1366507295
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCOUNTY OF MARIN
Location Address3230 KERNER BOULEVARDSan Rafael, CA 94901-4841
Mailing Address20 N San Pedro RdSan Rafael, CA 94903-4188 · (415) 473-6948
Fax(415) 473-3080
Organization SubpartYes
Authorized OfficialRosanna LallanaCompliance Privacy Security Ofcr · (415) 473-2531
Enumeration DateDecember 22, 2006
Last NPPES UpdateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1366507295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
3230 KERNER BOULEVARD, San Rafael, CA 94901

Other Identifiers 1

Medicaid2177CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

County Of Marin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to County Of Marin, which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Psychiatry15
Nurse Practitioner9
Marriage and Family Therapist5
Clinical Social Worker3
Internal Medicine1

Nearest to this location (20)

See all 33
Clinical Social Worker
NPI 1982785507
3270 KERNER BLVD SUITE B
San Rafael, CA 94901
(415) 473-6799
✔ PECOSSame address
Clinical Social Worker
NPI 1790802445
3270 KERNER BLVD SUITE B
San Rafael, CA 94901
(415) 473-2741
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1477641033
3270 KERNER BLVD SUITE B
San Rafael, CA 94901
(415) 473-2100
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1760680722
3270 KERNER BLVD STE B
San Rafael, CA 94901
(415) 473-2100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447706528
3270 KERNER BLVD
San Rafael, CA 94901
(415) 473-4300
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1346773504
240 TAMAL VISTA BLVD
Corte Madera, CA 94925
(916) 969-7074
✔ PECOS1.8 mi
Psychiatry
NPI 1477648681
250 BON AIR RD
Greenbrae, CA 94904
(415) 473-6795
✔ PECOS✔ Accepts Medicare2.1 mi
Marriage and Family Therapist
NPI 1881746568
250 BON AIR ROAD
Greenbrae, CA 94904
(415) 499-6666
✔ PECOS2.1 mi
Psychiatry
NPI 1013259415
250 BON AIR RD
Greenbrae, CA 94904
(415) 473-6835
✔ PECOS✔ Accepts Medicare2.1 mi
Marriage and Family Therapist
NPI 1245861772
250 BON AIR RD STE B
Greenbrae, CA 94904
(415) 473-6190
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1083058192
250 BON AIR RD UNIT B
Greenbrae, CA 94904
(415) 473-6835
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1891028213
250 BON AIR RD SUITE 2432
Greenbrae, CA 94904
(415) 473-2538
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1134402514
250 BON AIR RD
Greenbrae, CA 94904
(415) 473-7452
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1760828453
250 BON AIR RD
Greenbrae, CA 94904
(415) 473-6835
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1033223755
10 N SAN PEDRO RD SUITE 1020
San Rafael, CA 94903
(415) 473-4306
✔ PECOS✔ Accepts Medicare2.8 mi
Marriage and Family Therapist
NPI 1306919402
79 GRANDE PASEO
San Rafael, CA 94903
(805) 423-2008
✔ PECOS✔ Accepts Medicare5.3 mi
Marriage and Family Therapist
NPI 1821536657
411 ALAMEDA DEL PRADO
Novato, CA 94949
(415) 302-2835
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1508999541
1500 FRANKLIN ST
San Francisco, CA 94109
(415) 474-7310
✔ PECOS✔ Accepts Medicare13 mi
Psychiatry
NPI 1801098967
1569 SOLANO AVE # 401
Berkeley, CA 94707
(415) 350-3134
✔ PECOS✔ Accepts Medicare13 mi
Clinical Social Worker
NPI 1518581289
525 OREGON ST
Vallejo, CA 94590
(415) 847-8274
✔ PECOS✔ Accepts Medicare18 mi
See all 33 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 County Of Marin's NPI number?

The NPI number for County Of Marin is 1366507295. It was assigned to this organization in the NPPES registry on December 22, 2006.

Where is County Of Marin located?

County Of Marin is located at 3230 Kerner Boulevard, San Rafael, CA 94901. The listed phone number is (415) 473-2843.

What is County Of Marin's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Is County Of Marin enrolled in Medicare?

Yes. County Of Marin is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through County Of Marin?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 clinicians in 5 Medicare specialties reassign their Medicare billing to County Of Marin. A 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 the clinician's services. The largest specialties are Psychiatry (15), Nurse Practitioner (9) and Marriage and Family Therapist (5). Of these, 17 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for County Of Marin was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.