Mill Valley Performance Consulting Group, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS14376 Issued in CA

Legal business name

MILL VALLEY PERFORMANCE CONSULTING GROUP, INC.

Practice address

300 Tamal PLZ Ste 140
Corte Madera, CA 94925-1131

Phone

(415) 482-9796

Fax

(415) 482-9796

NPI assigned

Jan 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathleen Mary Teresa Jarosz, MSWNPI 1326196882

Title

Ceo

Phone

(415) 482-9796

Specialties & licenses 1

Addresses

Other names 1

• Kathy Jarosz Psychotherapist Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Mary Teresa Jarosz, MSW

  • Clinical Social Worker
  • San Rafael, CA
  • NPI 1326196882

  Mental Health

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1124176615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 AUBURN ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015206",
            "telephone_number": "415-482-9796",
            "fax_number": "415-482-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TAMAL PLZ STE 140",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251131",
            "telephone_number": "415-482-9796",
            "fax_number": "415-482-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL VALLEY PERFORMANCE CONSULTING GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "JAROSZ",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY TERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-482-9796",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS14376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kathy Jarosz Psychotherapist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn McLeod, LYNN MCLEOD, MFT
• David John Mehr, CAS
• Rita Melkonian, MD
• Marissa Carly Meltzer, M.A.
• Brett Mensh, M.D., PH.D.
• Susan G Millstein, PH.D.
• Mindfit Family Therapy
• Heidi Klein Minnick, PH.D.
• Rochelle Byrd Mishkin, LMFT #119416
• Jia Mizell

• Mental Health Counselor in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.