DYLAN KERSH-OLIVA LMFT
NPI 1679100259
Marriage & Family Therapist in San Rafael, CA

Q: What is Dylan Kersh-oliva's NPI number?

The NPI number for Dylan Kersh-oliva is 1679100259. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Dylan Kersh-oliva's specialty?

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

Q: Is Dylan Kersh-oliva enrolled in Medicare?

No. Dylan Kersh-oliva has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Dylan Kersh-oliva was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 24, 2020Opted out of Medicare · through Jan 1, 2028

1363 LINCOLN AVE STE 4, SAN RAFAEL, CA 94901(415) 307-0947 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dylan Kersh-oliva Lmft NPPES

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

DYLAN KERSH-OLIVA LMFT (NPI 1679100259) is an individual marriage & family therapist in San Rafael, California, licensed in California (107259) and active in the NPI registry since March 2020. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1679100259

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameDYLAN KERSH-OLIVACredential: LMFT

Location Address1363 LINCOLN AVE STE 4San Rafael, CA 94901-2124

Mailing Address9 Woodside WaySan Rafael, CA 94901-1439

Phone(415) 307-0947

Sole ProprietorYes

Enumeration DateMarch 24, 2020

NPPES CertifiedMarch 24, 2020

✔ NPI 1679100259 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 · 107259

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.

1363 LINCOLN AVE STE 4, San Rafael, CA 94901

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dylan Kersh-oliva Lmft 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTH CARE CONNECTION

Home Health

1363 LINCOLN AVE STE 4
SAN RAFAEL, CA 94901

Marin County (415) 457-2256

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 Dylan Kersh-oliva's NPI number?

The NPI number for Dylan Kersh-oliva is 1679100259. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Dylan Kersh-oliva located?

Dylan Kersh-oliva practices at 1363 Lincoln Ave Ste 4, San Rafael, CA 94901. The listed phone number is (415) 307-0947.

What is Dylan Kersh-oliva's specialty?

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

Is Dylan Kersh-oliva enrolled in Medicare?

No. Dylan Kersh-oliva has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dylan Kersh-oliva was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.