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MS. RENITA V. NEBRES
NPI 1487171518
Marriage & Family Therapist in San Rafael, CA

Active since August 29, 2017PECOS Enrolled
111 SMITH RANCH RD, SAN RAFAEL, CA 94903(415) 491-3000 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 9, 2022, Mar 27, 2020, Nov 21, 2019 and 3 more (6 updates tracked since 2017).

About Ms. Renita V. Nebres NPPES

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

MS. RENITA V. NEBRES (NPI 1487171518) is an individual marriage & family therapist in San Rafael, California, licensed in California (102482) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1487171518
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. RENITA V. NEBRES
Location Address111 SMITH RANCH RDSan Rafael, CA 94903-1939
Mailing Address1563 Mission StSan Francisco, CA 94103-2543 · (415) 762-3700
Phone(415) 491-3000
Sole ProprietorNo
Enumeration DateAugust 29, 2017
Last NPPES UpdateDecember 9, 20226 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1487171518 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 · 102482
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.
111 SMITH RANCH RD, San Rafael, CA 94903
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12275 Arlington DrSan Leandro, CA 94578-1132 · Phone (510) 317-1444
Location 252 Dore StSan Francisco, CA 94103 · Phone (415) 861-0828 ext. 134 · Fax (415) 861-0140
Location 31563 Mission StSan Francisco, CA 94103-2543 · Phone (415) 762-3700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Renita V. Nebres is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Renita Nebres reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
11 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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.

STEPHANIE LOPEZ
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3127
ASFAND KHAN
Psychiatry & Neurology (Psychiatry)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
JENNIFER DAWN ROSSI MA
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
AMY NICOLE URBAN
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
DR. KIM HUONG HUYNH PH.D.
Psychologist (Clinical)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3011
CORINNE HEIMER
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
JONATHAN MICHAEL DUBOS
Psychologist (Clinical Child & Adolescent)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
SHIRI LICHTENSTEIN PSYD
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000

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 Renita Nebres's NPI number?

The NPI number for Renita Nebres is 1487171518. It was assigned to this individual provider in the NPPES registry on August 29, 2017.

Where is Renita Nebres located?

Renita Nebres practices at 111 Smith Ranch Rd, San Rafael, CA 94903. The listed phone number is (415) 491-3000.

What is Renita Nebres's specialty?

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

Is Renita Nebres enrolled in Medicare?

Yes. Renita Nebres is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Renita Nebres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renita Nebres reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Renita Nebres'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 Renita Nebres was last updated on December 9, 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.