PENNY S ROPER
NPI 1417238395
Counselor in San Rafael, CA

Q: What is Penny Roper's NPI number?

The NPI number for Penny Roper is 1417238395. It was assigned to this individual provider in the NPPES registry on September 6, 2011.

Q: What is Penny Roper's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Penny Roper was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 06, 2011PECOS EnrolledAccepts Medicare Assignment

1466 LINCOLN AVE, SAN RAFAEL, CA 94901(415) 457-3755(415) 457-0849 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Penny S Roper NPPES

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

PENNY S ROPER (NPI 1417238395) is an individual counselor in San Rafael, California and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417238395

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NamePENNY S ROPER

Location Address1466 LINCOLN AVESan Rafael, CA 94901-2021

Mailing Address1466 Lincoln AveSan Rafael, CA 94901-2021 · (415) 457-3755 · Fax (415) 457-0849

Phone(415) 457-3755

Fax(415) 457-0849

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 6, 2011

✔ NPI 1417238395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

1466 LINCOLN AVE, San Rafael, CA 94901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Penny S Roper 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 ID648748426

PECOS Enrollment IDI20260511001016

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.

Medicare Billing Reassignment

Medicare enrollment records show Penny Roper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memory Check Psychological Services, A Professional Corporation

446 mi

Clinical

1902 WRIGHT PL FL CENTER2
Carlsbad, CA 92008

Reassigned Medicare billing, California enrollment
223 clinicians in this Medicare group

NPI 1912184219 (888) 515-3834

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.

CHRISTOPHER A JEFFERSON

Marriage & Family Therapist