LYNNE CLYDE LMFT, #104574
NPI 1861843971
Marriage & Family Therapist in San Rafael, CA

Active since June 29, 2016
185 N REDWOOD DR STE 225, SAN RAFAEL, CA 94903(415) 462-4399 Get Directions Write a Review

NPPES record last updated: July 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 11, 2018, Jun 29, 2016 (2 updates tracked since 2016).

About Lynne Clyde Lmft, #104574 NPPES

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

LYNNE CLYDE LMFT, #104574 (NPI 1861843971) is an individual marriage & family therapist in San Rafael, California, licensed in California (104574) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1861843971
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLYNNE CLYDECredential: LMFT, #104574
Location Address185 N REDWOOD DR STE 225San Rafael, CA 94903
Mailing Address185 N Redwood Dr Ste 225San Rafael, CA 94903-1980 · (415) 462-4399
Sole ProprietorYes
Enumeration DateJune 29, 2016
Last NPPES UpdateJuly 11, 20182 updates tracked since enumeration
NPI 1861843971 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 · 104574
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.

185 N REDWOOD DR STE 225, San Rafael, CA 94903

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 02-13-2024

  • Opt-Out End Date: 02-13-2028

  • Eligible to Order and Refer? No

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Marriage & Family Therapist
185 N REDWOOD DR STE 225
SAN RAFAEL, CA 94903
Marriage & Family Therapist
185 N REDWOOD DR STE 225
SAN RAFAEL, CA 94903

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861843971, enumerated as an "individual" on June 29, 2016.

The provider is located at 185 N REDWOOD DR STE 225 SAN RAFAEL, CA 94903 and the phone number is (415) 462-4399.

Marriage & Family Therapist with taxonomy code 106H00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.