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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. DEBORAH ANN SPAKE LMFT
NPI 1740530815
Marriage & Family Therapist in Sausalito, CA

Active since September 14, 2012PECOS Enrolled
100 PHILLIPS DR, SAUSALITO, CA 94965(415) 339-8813(415) 339-8814 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, Jan 7, 2019 (2 updates tracked since 2019).

About Ms. Deborah Ann Spake Lmft NPPES

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

MS. DEBORAH ANN SPAKE LMFT (NPI 1740530815) is an individual marriage & family therapist in Sausalito, California, licensed in California (109339) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1740530815
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. DEBORAH ANN SPAKECredential: LMFT
Location Address100 PHILLIPS DRSausalito, CA 94965-1172
Mailing Address100 Phillips DrSausalito, CA 94965-1172 · (415) 339-8813 · Fax (415) 339-8814
Phone(415) 339-8813
Fax(415) 339-8814
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 14, 2012
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1740530815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 109339
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
100 PHILLIPS DR, Sausalito, CA 94965
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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 (PECOS)

Ms. Deborah Ann Spake Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496247371
PECOS Enrollment IDI20251127000139
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 Deborah Spake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Marin City Health And Wellness Center
Same address
Federally Qualified Health Center (FQHC)
100 PHILLIPS DR
Sausalito, CA 94965
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1902681489 (415) 339-8813

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 11

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

DR. KENDRA THOMAS DMD
Dentist (General Practice)
100 PHILLIPS DR
SAUSALITO, CA 94965
Marin County (415) 339-8813
MS. GRADIA CAROLYN JUNIUS
Nurse Practitioner (Family)
100 PHILLIPS DR
SAUSALITO, CA 94965
Marin County (415) 339-8813
DR. RICHARD JAMES LEARY PSYD
Psychologist (Clinical)
100 PHILLIPS DR
SAUSALITO, CA 94965
Marin County (415) 339-8813
MRS. RAECHELE KENYON-DIAZ LMFT
Marriage & Family Therapist
100 PHILLIPS DR
SAUSALITO, CA 94965
Marin County (415) 339-8813
KENTARA GAINES LCSW
Social Worker (Clinical)
100 PHILLIPS DR
SAUSALITO, CA 94965
Marin County (415) 339-8813
EMILIA EBERE ANYAH NP
Nurse Practitioner (Psychiatric/Mental Health)
100 PHILLIPS DR
SAUSALITO, CA 94965
Marin County (415) 339-8813
JULIANA MARGARET MORRIS PSYD
Psychologist
100 PHILLIPS DR
SAUSALITO, CA 94965
Marin County (415) 339-8813
CELINA NOELLE FINE PA
Physician Assistant
100 PHILLIPS DR
SAUSALITO, CA 94965
Marin County (415) 339-8813

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 Deborah Spake's NPI number?

The NPI number for Deborah Spake is 1740530815. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Deborah Spake located?

Deborah Spake practices at 100 Phillips Dr, Sausalito, CA 94965. The listed phone number is (415) 339-8813.

What is Deborah Spake's specialty?

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

Is Deborah Spake enrolled in Medicare?

Yes. Deborah Spake is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deborah Spake's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deborah Spake reassigns Medicare benefits to Marin City Health And Wellness Center (Sausalito, 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 Deborah Spake'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 Deborah Spake was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.