MARCY BILBERRY LCSW
NPI 1376695775
Counselor - Mental Health in Santa Rosa, CA
About Marcy Bilberry Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARCY BILBERRY LCSW (NPI 1376695775) is an individual mental health provider in Santa Rosa, California, licensed in California (21813) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marcy Bilberry Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marcy Bilberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SANTA ROSA, CA 95403
SANTA ROSA, CA 95403
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 Marcy Bilberry's NPI number?
The NPI number for Marcy Bilberry is 1376695775. It was assigned to this individual provider in the NPPES registry on January 17, 2007.
Where is Marcy Bilberry located?
Marcy Bilberry practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 571-4015.
What is Marcy Bilberry's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Marcy Bilberry enrolled in Medicare?
Yes. Marcy Bilberry is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marcy Bilberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marcy Bilberry reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The 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 Marcy Bilberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marcy Bilberry was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Marcy Bilberry, LCSW · NPI 1376695775
Mental Health provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since January 17, 2007.
## Identity
- **NPI:** 1376695775 (Entity type: Individual)
- **Enumerated:** January 17, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 21813 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 BICENTENNIAL WAY, Santa Rosa, CA 95403-2149
- **Phone:** (707) 571-4015
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376695775) · Data from the CMS NPPES public registry.