Marcia Greene, MFT INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

64016 Issued in CA

Practice address

680 Wilson Ave
Novato, CA 94947-3825

Phone

(415) 892-1643

NPI assigned

Aug 29, 2011

Last updated

Feb 23, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• North Marin Community Services

  • Community/Behavioral Health Agency
  • Novato, CA
  • NPI 1861556573

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1528349073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473825",
            "telephone_number": "415-892-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473825",
            "telephone_number": "415-892-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "MARCIA",
        "credential": "MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "64016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ida Lawanda Green
• Sean Green
• Tamara Michelle Green, M.A.
• Cindy Greenberg, MD
• Julie Kapiolani Greenberg
• Stefan Greene, LCSW
• Arielle L Greenlee
• Greg Miller, DDS, Inc (Marin Braces)
• Kaitlyn Grenz, M.S.ED, ED.S
• John Scott Grigsby, PHARMD

• Mental Health Counselor in Novato, CA
• Providers in Novato, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.