Kristy Geithman, PPS SCHOOL COUNSELOR

Individual provider Active NPI School Counselor · Fairfax, CA

NPI 1124907969 · NPPES record last updated Aug 27, 2025

Key facts

NPI
1124907969
Entity type
Individual (NPI type 1)
Primary specialty
School Counselor 101YS0200X
License
25007658 (CA)
Practice address
3125 Sir Francis Drake Blvd
Fairfax, CA 94930-1353
Phone
(415) 328-1020
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
25007658CAMDSchool Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 25007658 CA Yes

Addresses

Primary practice location

3125 Sir Francis Drake Blvd
Fairfax, CA 94930-1353

Mailing address

170 Liberty School Rd
Petaluma, CA 94952-1011
Phone (415) 328-1020

Other providers in Fairfax, CA

All providers in Fairfax, CA · School Counselor in California

Sources for this page

Verify at the official NPI Registry.