CHERYL CLEMENTSON
NPI 1851760565
Marriage & Family Therapist in San Rafael, CA

Active since September 23, 2015PECOS Enrolled
710 C ST STE 7C, SAN RAFAEL, CA 94901(415) 639-5373 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cheryl Clementson NPPES

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

CHERYL CLEMENTSON (NPI 1851760565) is an individual marriage & family therapist in San Rafael, California, licensed in California (122225) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851760565
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCHERYL CLEMENTSON
Location Address710 C ST STE 7CSan Rafael, CA 94901-3891
Mailing AddressPo Box 5338Novato, CA 94948-5338
Sole ProprietorYes
Enumeration DateSeptember 23, 2015
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
NPI 1851760565 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 · 122225
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.
710 C ST STE 7C, San Rafael, CA 94901

Other Identifiers 1

MedicaidA3839173CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cheryl Clementson 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

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

Counselor (Mental Health)
710 C ST STE 7C
SAN RAFAEL, CA 94901

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 Cheryl Clementson's NPI number?

The NPI number for Cheryl Clementson is 1851760565. It was assigned to this individual provider in the NPPES registry on September 23, 2015.

Where is Cheryl Clementson located?

Cheryl Clementson practices at 710 C St Ste 7C, San Rafael, CA 94901. The listed phone number is (415) 639-5373.

What is Cheryl Clementson's specialty?

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

Is Cheryl Clementson enrolled in Medicare?

Yes. Cheryl Clementson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cheryl Clementson was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.