BEVERLY LEFTWICH M.A.
NPI 1841482965
Counselor - Mental Health in San Rafael, CA

Q: What is Beverly Leftwich's NPI number?

The NPI number for Beverly Leftwich is 1841482965. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Q: What is Beverly Leftwich's specialty?

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

Q: Is Beverly Leftwich enrolled in Medicare?

No. Beverly Leftwich has opted out of Medicare through June 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Beverly Leftwich was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 13, 2007Opted out of Medicare · through Jun 29, 2028

555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN, SAN RAFAEL, CA 94903(415) 491-5700(415) 491-5750 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Beverly Leftwich M.a. NPPES

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

BEVERLY LEFTWICH M.A. (NPI 1841482965) is an individual mental health provider in San Rafael, California and active in the NPI registry since August 2007. She has opted out of Medicare through June 29, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1841482965

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBEVERLY LEFTWICHCredential: M.A.

Location Address555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARINSan Rafael, CA 94903-3680

Mailing Address555 Northgate Dr, Family Service Agency Of MarinSan Rafael, CA 94903-3680 · (415) 491-5700 · Fax (415) 491-5750

Phone(415) 491-5700

Fax(415) 491-5750

Sole ProprietorYes

Enumeration DateAugust 13, 2007

✔ NPI 1841482965 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, 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

Beverly Leftwich M.a. 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 June 29, 2026 through June 29, 2028.

Opt-Out Effective DateJune 29, 2026

Opt-Out In Effect ThroughJune 29, 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 20

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

LISA WYNLAND LUKIANOFF

Counselor (Mental Health)

555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

FAMILY SERVICE AGENCY

Community/Behavioral Health

555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

MRS. MELISSA LEE

Counselor (Mental Health)

555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

MEGAN MCKEON

Counselor

555 NORTHGATE DR
SAN RAFAEL, CA 94903

Marin County (510) 332-9828

AMY N HARRIS

Counselor (Mental Health)

555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

MS. CARIN EBEY M.S.

Counselor (Mental Health)

555 NORTHGATE DR, FAMILY SERVICE AGENCY
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

ESME IRENE GORDON MFT

Marriage & Family Therapist

555 NORTHGATE DR, FAMILY SERVICE AGENCY OF MARIN
SAN RAFAEL, CA 94903

Marin County (415) 491-5700

CORDELIA WOLF

Counselor (Mental Health)

555 NORTHGATE DR
SAN RAFAEL, CA 94903

Marin County (310) 621-4696

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 Beverly Leftwich's NPI number?

The NPI number for Beverly Leftwich is 1841482965. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Beverly Leftwich located?

Beverly Leftwich practices at 555 Northgate Dr Family Service Agency Of Marin, San Rafael, CA 94903. The listed phone number is (415) 491-5700.

What is Beverly Leftwich's specialty?

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

Is Beverly Leftwich enrolled in Medicare?

No. Beverly Leftwich has opted out of Medicare through June 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Beverly Leftwich was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.