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REBECCA MARY LEACOCK MFT
NPI 1801060504
Counselor - Mental Health in San Rafael, CA

Active since April 15, 2008PECOS Enrolled
4 JEANNETTE PRANDI WAY, SAN RAFAEL, CA 94903(415) 507-2926(415) 499-6978 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca Mary Leacock Mft NPPES

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

REBECCA MARY LEACOCK MFT (NPI 1801060504) is an individual mental health provider in San Rafael, California, licensed in California (37165) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1801060504
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA MARY LEACOCKCredential: MFT
Location Address4 JEANNETTE PRANDI WAYSan Rafael, CA 94903-1133
Mailing Address4 Jeannette Prandi WaySan Rafael, CA 94903 · (415) 507-2926 · Fax (415) 499-6978
Phone(415) 507-2926
Fax(415) 499-6978
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 15, 2008
✔ NPI 1801060504 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 · 37165
4 JEANNETTE PRANDI WAY, San Rafael, CA 94903
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca Mary Leacock Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143791525
PECOS Enrollment IDI20260605003559
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.

Other Providers at the Same Location NPPES 4

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

BAY AREA COMMUNITY RESOURCES, INC.
Community/Behavioral Health
4 JEANNETTE PRANDI WAY, ORIENTATION CONFERENCE RM & COUNSELING RM
SAN RAFAEL, CA 94903
Marin County (415) 499-6659
MRS. ANGELA MARIA ARENAS MFT
Marriage & Family Therapist
4 JEANNETTE PRANDI WAY
SAN RAFAEL, CA 94903
Marin County (415) 507-2665
MARIN COUNTY JUVENILE PROBATION
Community/Behavioral Health
4 JEANNETTE PRANDI WAY
SAN RAFAEL, CA 94903
Marin County (415) 499-6659
MR. CESAR SANGALANG LAGLEVA JR. LCSW
Social Worker (Clinical)
4 JEANNETTE PRANDI WAY
SAN RAFAEL, CA 94903
Marin County (415) 507-2662

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 Rebecca Leacock's NPI number?

The NPI number for Rebecca Leacock is 1801060504. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Rebecca Leacock located?

Rebecca Leacock practices at 4 Jeannette Prandi Way, San Rafael, CA 94903. The listed phone number is (415) 507-2926.

What is Rebecca Leacock's specialty?

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

Is Rebecca Leacock enrolled in Medicare?

Yes. Rebecca Leacock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebecca Leacock was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.