Individual provider Active NPI

Ginny Bahr, LPCC

  • Professional Counselor
  • San Rafael, CA
National Provider Identifier
1568917995
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2256 Issued in CA
Practice address
1206 3Rd St Ste 4
San Rafael, CA 94901-3048
Phone
(415) 450-1149
Fax
(415) 727-1010
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5003 CO
Professional Counselor 101YP2500X 2256 CA Primary

Addresses

Primary practice location

1206 3Rd St Ste 4
San Rafael, CA 94901-3048

Mailing address

PO Box 151306
San Rafael, CA 94915-1306
Phone (415) 450-1149

Other practice location 1

1206 3rd St Ste 6
San Rafael, CA 94901-3048
Phone (415) 450-1149

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

LicenseStateTypeSpecialty
5003COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Family Recovery CurrentSince Jul 24, 2022 Accepting new patients

Locations

1206 3rd St
Ste 6
San Rafael, CA 94901
Phone (415) 450-1149

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1568917995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151306",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949151306",
            "telephone_number": "415-450-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 3RD ST STE 4",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013048",
            "telephone_number": "415-450-1149",
            "fax_number": "415-727-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 3rd St Ste 6",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949013048",
            "country_code": "US",
            "telephone_number": "415-450-1149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHR",
        "first_name": "GINNY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5003",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "2256",
            "primary": true
        }
    ],
    "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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.