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CYNTHIA LYNN VERGARA M.S., MFT
NPI 1811185986
Marriage & Family Therapist in San Rafael, CA

Active since October 13, 2007PECOS Enrolled
361 3RD ST, SUITE G, SAN RAFAEL, CA 94901(415) 258-4944(415) 258-4943 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cynthia Lynn Vergara M.s., Mft NPPES

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

CYNTHIA LYNN VERGARA M.S., MFT (NPI 1811185986) is an individual marriage & family therapist in San Rafael, California, licensed in California (MFC 48660) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811185986
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCYNTHIA LYNN VERGARACredential: M.S., MFT
Location Address361 3RD ST, SUITE GSan Rafael, CA 94901-3541
Mailing Address34 Queva VisNovato, CA 94947-2109 · (415) 258-4944 · Fax (415) 258-4943
Phone(415) 258-4944
Fax(415) 258-4943
Sole ProprietorNo
Enumeration DateOctober 13, 2007
Last NPPES UpdateJanuary 11, 2022
✔ NPI 1811185986 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 · MFC 48660
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.
361 3RD ST, San Rafael, CA 94901
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Other Names 1

Other Name (5)Cynthia Gillen Ciceron M.s., Mfti

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia Lynn Vergara M.s., Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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

GWEN OMALLEY RN
Registered Nurse (Women's Health Care, Ambulatory)
361 3RD ST, SUITE E
SAN RAFAEL, CA 94901
Marin County (415) 507-4030
DR. ROSA ELENA VINCE D.C.
Chiropractor
361 3RD ST, SUITE D
SAN RAFAEL, CA 94901
Marin County (415) 454-3717
JENNY SORIANO MD
Obstetrics & Gynecology
361 3RD ST, SUITE E
SAN RAFAEL, CA 94901
Marin County (415) 499-4030
SHAWNA ELIZABETH DOBSON MA LPCC
Counselor (Mental Health)
361 3RD ST, SUITE G
SAN RAFAEL, CA 94901
Marin County (415) 258-4944
DANA CHERRY
Marriage & Family Therapist
361 3RD ST, SUITE G
SAN RAFAEL, CA 94901
Marin County (415) 258-4944
BAY AREA COMMUNITY RESOURCES, INC.
Community/Behavioral Health
361 3RD ST, SUITE G
SAN RAFAEL, CA 94901
Marin County (415) 258-4944
BARBARA JEAN STOWE RN
Registered Nurse (Women's Health Care, Ambulatory)
361 3RD ST, SUITE E
SAN RAFAEL, CA 94901
Marin County (415) 499-4030

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 Cynthia Vergara's NPI number?

The NPI number for Cynthia Vergara is 1811185986. It was assigned to this individual provider in the NPPES registry on October 13, 2007. The provider is also known as Cynthia Gillen Ciceron M.S., Mfti.

Where is Cynthia Vergara located?

Cynthia Vergara practices at 361 3rd St Suite G, San Rafael, CA 94901. The listed phone number is (415) 258-4944.

What is Cynthia Vergara's specialty?

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

Is Cynthia Vergara enrolled in Medicare?

Yes. Cynthia Vergara is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cynthia Vergara was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.