MRS. GINA BORELLI MOORE MA, MFT
NPI 1801023775
Marriage & Family Therapist in San Rafael, CA

Q: What is Gina Moore's NPI number?

The NPI number for Gina Moore is 1801023775. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Q: What is Gina Moore's specialty?

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

Q: Is Gina Moore enrolled in Medicare?

No. Gina Moore 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 Gina Moore was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 June 17, 2009Opted out of Medicare · through Jan 1, 2028

1330 LINCOLN AVE STE 301, SAN RAFAEL, CA 94901(415) 460-6390(415) 532-1587 Get Directions Write a Review

NPPES record last updated: June 17, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mrs. Gina Borelli Moore Ma, Mft NPPES

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

MRS. GINA BORELLI MOORE MA, MFT (NPI 1801023775) is an individual marriage & family therapist in San Rafael, California, licensed in California (MFT 35071) and active in the NPI registry since June 2009. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1801023775

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. GINA BORELLI MOORECredential: MA, MFT

Location Address1330 LINCOLN AVE STE 301San Rafael, CA 94901-2143

Mailing Address1330 Lincoln Ave Ste 301San Rafael, CA 94901-2143 · (415) 460-6390 · Fax (415) 532-1587

Phone(415) 460-6390

Fax(415) 532-1587

Sole ProprietorYes

Enumeration DateJune 17, 2009

✔ NPI 1801023775 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 · MFT 35071

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.

1330 LINCOLN AVE STE 301, San Rafael, CA 94901

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Gina Borelli Moore Ma, 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 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.

JACQUELINE DANIELSON R.N., M.S., L.M.F.T.

Marriage & Family Therapist

1330 LINCOLN AVE STE 301
SAN RAFAEL, CA 94901

Marin County (415) 298-1844

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 Gina Moore's NPI number?

The NPI number for Gina Moore is 1801023775. It was assigned to this individual provider in the NPPES registry on June 17, 2009.

Where is Gina Moore located?

Gina Moore practices at 1330 Lincoln Ave Ste 301, San Rafael, CA 94901. The listed phone number is (415) 460-6390.

What is Gina Moore's specialty?

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

Is Gina Moore enrolled in Medicare?

No. Gina Moore 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 Gina Moore was last updated on June 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.