MS. IRMA RIVERA-CARLISLE MDIV, M.A., MFT
NPI 1639385222
Counselor - Mental Health in Kentfield, CA

Q: What is Irma Rivera-carlisle's NPI number?

The NPI number for Irma Rivera-carlisle is 1639385222. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Q: What is Irma Rivera-carlisle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Irma Rivera-carlisle enrolled in Medicare?

No. Irma Rivera-carlisle has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since May 14, 2007Opted out of Medicare · through Jan 4, 2028

1036 SIR FRANCIS DRAKE BLVD, KENTFIELD, CA 94904(415) 246-5051(415) 482-0863 Get Directions Write a Review

NPPES record last updated: January 29, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Ms. Irma Rivera-carlisle Mdiv, M.a., Mft NPPES

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

MS. IRMA RIVERA-CARLISLE MDIV, M.A., MFT (NPI 1639385222) is an individual mental health provider in Kentfield, California, licensed in California (MFC45828) and active in the NPI registry since May 2007. She has opted out of Medicare through January 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639385222

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. IRMA RIVERA-CARLISLECredential: MDIV, M.A., MFT

Location Address1036 SIR FRANCIS DRAKE BLVDKentfield, CA 94904-1427

Mailing AddressPo Box 1522San Anselmo, CA 94979-1522 · (415) 246-5051 · Fax (415) 482-0863

Phone(415) 246-5051

Fax(415) 482-0863

Sole ProprietorYes

Enumeration DateMay 14, 2007

Last NPPES UpdateJanuary 29, 2012

✔ NPI 1639385222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · MFC45828

1036 SIR FRANCIS DRAKE BLVD, Kentfield, CA 94904

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Irma Rivera-carlisle Mdiv, M.a., Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024

Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

DR. JOHN FREDERICK HERSCHLEB DDS

Dentist (General Practice)

1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904

Marin County (415) 456-5402

DR. NANCY HUGHES HAUGEN PH.D.

Psychologist (Clinical)

1036 SIR FRANCIS DRAKE BLVD, STE. 200
KENTFIELD, CA 94904

Marin County (415) 492-1171

DR. DONALD NADLER PH.D.

Psychologist (Clinical)

1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904

Marin County (415) 456-5699

MS. ANNA WEST M.F.T.

Marriage & Family Therapist

1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904

Marin County (415) 455-5981

WILLIAM ARIGI

Marriage & Family Therapist

1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904

Marin County (415) 459-8051

DR. VICTORIA C. GRANUCCI PH.D.

Psychologist (Clinical)

1036 SIR FRANCIS DRAKE BLVD, SUITE 200
KENTFIELD, CA 94904

Marin County (415) 460-0441

DR. LADAN VAKILI DMD

Dentist (Pediatric Dentistry)

1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904

Marin County (415) 454-6414

MS. PENNY A. WRIGHT MFT

Marriage & Family Therapist

1036 SIR FRANCIS DRAKE BLVD
KENTFIELD, CA 94904

Marin County (415) 453-2217

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 Irma Rivera-carlisle's NPI number?

The NPI number for Irma Rivera-carlisle is 1639385222. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Irma Rivera-carlisle located?

Irma Rivera-carlisle practices at 1036 Sir Francis Drake Blvd, Kentfield, CA 94904. The listed phone number is (415) 246-5051.

What is Irma Rivera-carlisle's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Irma Rivera-carlisle enrolled in Medicare?

No. Irma Rivera-carlisle has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Irma Rivera-carlisle accept?

Health plans from Providence Health Plan list Irma Rivera-carlisle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Irma Rivera-carlisle was last updated on January 29, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.