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LARRY ALLEN JEAN
NPI 1790127728
Peer Specialist in San Rafael, CA

Active since July 18, 2013
3230 KERNER BLVD, SAN RAFAEL, CA 94901(415) 847-3209 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Larry Allen Jean NPPES

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

LARRY ALLEN JEAN (NPI 1790127728) is an individual peer specialist in San Rafael, California and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1790127728
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameLARRY ALLEN JEAN
Location Address3230 KERNER BLVDSan Rafael, CA 94901-4840
Mailing Address36d Oliva DrNovato, CA 94947-2123 · (415) 450-0105
Phone(415) 847-3209
Sole ProprietorYes
Enumeration DateJuly 18, 2013
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1790127728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3230 KERNER BLVD, San Rafael, CA 94901
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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.

ELIZABETH MAGID MSW
Social Worker
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 473-6769
VERENICE IVETTE LOPEZ-MEZA
Peer Specialist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 473-5063
KATHLEEN E HAWKINS
Student in an Organized Health Care Education/Training Program
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 473-6769
MRS. SANDRA MARIA RAMIREZ GRIGGS M.F.T.
Marriage & Family Therapist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 485-2415
STEPHANIE MONIQUE JOHNSON
Counselor
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (414) 473-4101
MS. MICHELLE RAE KEMP CERTIFIED PEER
Peer Specialist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 368-5221
SERGIO RUIZ MS, MDFT, PCI
Counselor (Professional)
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 299-3646
DAWN MARCELLA HENSLEY
Case Manager/Care Coordinator
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 473-7814

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 Larry Jean's NPI number?

The NPI number for Larry Jean is 1790127728. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Larry Jean located?

Larry Jean practices at 3230 Kerner Blvd, San Rafael, CA 94901. The listed phone number is (415) 847-3209.

What is Larry Jean's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Larry Jean was last updated on April 12, 2023. 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.