Active NPI
Kathleen Marie Nash
- Addiction (Substance Use Disorder) Counselor
- San Anselmo, CA
National Provider Identifier
1619456191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1317490818
- Practice address
- 300 Sunnyhills Dr
San Anselmo, CA 94960-1909 - Phone
- (415) 526-8097
- Fax
- (415) 456-4679
- NPI assigned
- Aug 7, 2018
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1317490818 | CA | Primary |
Addresses
Primary practice location
300 Sunnyhills Dr
San Anselmo, CA 94960-1909
Mailing address
300 Sunnyhills Dr
San Anselmo, CA 94960-1909
Phone (415) 526-8097
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 |
|---|---|---|---|
| R1317490818 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1619456191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SUNNYHILLS DR",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949601909",
"telephone_number": "415-526-8097",
"fax_number": "415-456-4679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SUNNYHILLS DR",
"city": "SAN ANSELMO",
"state": "CA",
"postal_code": "949601909",
"telephone_number": "415-526-8097",
"fax_number": "415-456-4679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1317490818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Anselmo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.