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MRS. KATE POOLEY
NPI 1811442882
Counselor - Mental Health in San Rafael, CA

Active since August 19, 2016Opted out of Medicare · through Jan 10, 2028
555 NORTHGATE DR STE 100, BUCKELEW PROGRAMS, SAN RAFAEL, CA 94903(415) 491-5700 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kate Pooley NPPES

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

MRS. KATE POOLEY (NPI 1811442882) is an individual mental health provider in San Rafael, California and active in the NPI registry since August 2016. She has opted out of Medicare through January 10, 2028.

NPPES Registry Identity

NPI1811442882
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KATE POOLEY
Location Address555 NORTHGATE DR STE 100, BUCKELEW PROGRAMSSan Rafael, CA 94903-3696
Mailing Address555 Northgate Dr Ste 100, Buckelew ProgramsSan Rafael, CA 94903-3696
Phone(415) 491-5700
Sole ProprietorNo
Enumeration DateAugust 19, 2016
✔ NPI 1811442882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
555 NORTHGATE DR STE 100, 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

ⓘ

Opted out of Medicare

Mrs. Kate Pooley 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 10, 2024 through January 10, 2028.

Opt-Out Effective DateJanuary 10, 2024
Opt-Out In Effect ThroughJanuary 10, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 18

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

SARA CHAMBERS M.A.
Counselor (Mental Health)
555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Marin County (415) 491-5700
MISS ERIN HIEBSCH MA
Counselor (Mental Health)
555 NORTHGATE DR STE 100, FAMILY SERVICES AGENCY OF MARIN
SAN RAFAEL, CA 94903
Marin County (415) 491-5700
AVITAL SCHLESINGER
Counselor (Mental Health)
555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Marin County (415) 491-5700
ALEXIS MARIE CRISSEY
Counselor (Mental Health)
555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Marin County (408) 313-7682
MARGARET RUSSELL
Marriage & Family Therapist
555 NORTHGATE DR STE 100
SAN RAFAEL, CA 94903
Marin County (415) 491-5700
PAIGE PIRES DE ALMEIDA
Counselor (Mental Health)
555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Marin County (415) 491-5700
MS. MARLEEN LIESBETH ROSMARK
Counselor (Mental Health)
555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Marin County (415) 491-5700
ABIGAIL RODRIGUEZ
Student in an Organized Health Care Education/Training Program
555 NORTHGATE DR STE 100, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903
Marin County (816) 797-9012

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 Kate Pooley's NPI number?

The NPI number for Kate Pooley is 1811442882. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Where is Kate Pooley located?

Kate Pooley practices at 555 Northgate Dr Ste 100 Buckelew Programs, San Rafael, CA 94903. The listed phone number is (415) 491-5700.

What is Kate Pooley's specialty?

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

Is Kate Pooley enrolled in Medicare?

No. Kate Pooley has opted out of Medicare through January 10, 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 Kate Pooley was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.