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THERESA KOKE M.F.T.
NPI 1871504951
Marriage & Family Therapist in San Rafael, CA

Active since August 11, 2006Opted out of Medicare · through Jan 1, 2028
710 B ST., SUITE 7-C, SAN RAFAEL, CA 94901(707) 583-2339(415) 488-0818 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresa Koke M.f.t. NPPES

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

THERESA KOKE M.F.T. (NPI 1871504951) is an individual marriage & family therapist in San Rafael, California, licensed in California (MFC27900) and active in the NPI registry since August 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1871504951
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTHERESA KOKECredential: M.F.T.
Location Address710 B ST., SUITE 7-CSan Rafael, CA 94901
Mailing AddressPo Box 672Woodacre, CA 94973-0672 · (415) 488-4411 · Fax (415) 488-0818
Phone(707) 583-2339
Fax(415) 488-0818
Sole ProprietorYes
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871504951 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 · MFC27900
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 B ST., San Rafael, CA 94901
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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

Theresa Koke M.f.t. 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Theresa Koke's NPI number?

The NPI number for Theresa Koke is 1871504951. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Theresa Koke located?

Theresa Koke practices at 710 B St. Suite 7-C, San Rafael, CA 94901. The listed phone number is (707) 583-2339.

What is Theresa Koke's specialty?

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

Is Theresa Koke enrolled in Medicare?

No. Theresa Koke has opted out of Medicare through January 1, 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 Theresa Koke was last updated on July 8, 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.