Rachelle Averbach, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

23824 Issued in CA

Practice address

39 Cascade Dr
Fairfax, CA 94930-2103

Phone

(415) 453-4662

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Family Service Agency

  • Marriage & Family Therapist
  • San Rafael, CA
  • NPI 1861561946
  Authorized official Same address or phone

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1407304306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CASCADE DR",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949302103",
            "telephone_number": "415-453-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CASCADE DR",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949302103",
            "telephone_number": "415-453-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERBACH",
        "first_name": "RACHELLE",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "23824",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "23824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Adler Killen
• Madeleine Alfiero, DPT
• Elizabeth Ann Alfonso, DACM, L.AC
• Jennifer Bees
• Emily Juliette Bender, N.C, CHN
• Alexander Binik
• Jacqueline Bloom, MS OTR/L
• Janne Bowen-Williams, MD

• Marriage & Family Therapist in Fairfax, CA
• Providers in Fairfax, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.