Michaela Marrapese

Individual provider Active NPI Counselor · Upper Lake, CA

NPI 1154874576 · NPPES record last updated Jul 31, 2019

Key facts

NPI
1154874576
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
675 1St St
Upper Lake, CA 95485-9586
Phone
(707) 275-8776
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Community Services, Inc Past
since Aug 6, 2019
Accepting new patients
Redwood Community Services, Inc. Case Manager/Care Coordinator Past
since Aug 6, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Counselor 101Y00000X Yes

Addresses

Primary practice location

675 1St St
Upper Lake, CA 95485-9586

Mailing address

PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 472-2922

Other practice location 1

1201 Talmage Rd
Ukiah, CA 95482
Phone (707) 462-4033

Other practice location 2

9981 Spring Valley Rd Unit B
Potter Valley, CA 95469-9713
Phone (707) 743-1015

Other providers in Upper Lake, CA

All providers in Upper Lake, CA · Counselor in California

Sources for this page

Verify at the official NPI Registry.