Active NPI
Marie E. Sammons
- Counselor
- San Rafael, CA
National Provider Identifier
1457583338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 66417
- Practice address
- 1 Saint Vincents Dr
San Rafael, CA 94903 - Phone
- (415) 370-3182
- NPI assigned
- Aug 11, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 66417 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 66417 | CA |
Addresses
Primary practice location
1 Saint Vincents Dr
San Rafael, CA 94903
Mailing address
2500 Deer Valley Rd
#236
San Rafael, CA 94903-1935
Phone (415) 370-3182
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 |
|---|---|---|---|
| 66417 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1457583338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 DEER VALLEY RD",
"address_2": "#236",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031935",
"telephone_number": "415-370-3182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT VINCENTS DR",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "94903",
"telephone_number": "415-370-3182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMONS",
"first_name": "MARIE",
"middle_name": "E.",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-11",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "66417",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "66417",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.