Active NPI
Regina Matthew
- School Counselor
- Novato, CA
National Provider Identifier
1255132874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 148403
- Practice address
- 384 Bel Marin Keys Blvd Ste 210
Novato, CA 94949-5362 - Phone
- (415) 323-5810
- NPI assigned
- Mar 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 148403 | CA | Primary |
Addresses
Primary practice location
384 Bel Marin Keys Blvd Ste 210
Novato, CA 94949-5362
Mailing address
PO Box 470
Lagunitas, CA 94938-0470
Phone (415) 323-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148403 | CA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1255132874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 470",
"city": "LAGUNITAS",
"state": "CA",
"postal_code": "949380470",
"telephone_number": "415-323-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 BEL MARIN KEYS BLVD STE 210",
"city": "NOVATO",
"state": "CA",
"postal_code": "949495362",
"telephone_number": "415-323-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEW",
"first_name": "REGINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-20",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "148403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.