SARA STALEY
NPI 1861773541
Marriage & Family Therapist in San Rafael, CA

Q: What is Sara Staley's NPI number?

The NPI number for Sara Staley is 1861773541. It was assigned to this individual provider in the NPPES registry on September 7, 2011.

Q: What is Sara Staley's specialty?

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

Q: Is Sara Staley enrolled in Medicare?

No. Sara Staley has opted out of Medicare through January 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Sara Staley was last updated on September 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 07, 2011Opted out of Medicare · through Jan 17, 2028

1 SAINT VINCENTS DR, SAN RAFAEL, CA 94903(415) 507-4244(415) 444-0532 Get Directions Write a Review

NPPES record last updated: September 7, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sara Staley NPPES

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

SARA STALEY (NPI 1861773541) is an individual marriage & family therapist in San Rafael, California and active in the NPI registry since September 2011. She has opted out of Medicare through January 17, 2028.

NPPES Registry Identity

NPI1861773541

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSARA STALEY

Location Address1 SAINT VINCENTS DRSan Rafael, CA 94903-1504

Mailing AddressPo Box 997Woodacre, CA 94973-0997 · (415) 794-0720

Phone(415) 507-4244

Fax(415) 444-0532

Sole ProprietorNo

Enumeration DateSeptember 7, 2011

✔ NPI 1861773541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

1 SAINT VINCENTS 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

Sara Staley 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 17, 2024 through January 17, 2028.

Opt-Out Effective DateJanuary 17, 2024

Opt-Out In Effect ThroughJanuary 17, 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.

MARTINA BAKEBURA BAKILANA

Marriage & Family Therapist