Counseling Associates of Marin, a LCSW Organization

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COUNSELING ASSOCIATES OF MARIN, A LCSW ORGANIZATION

Practice address

240 Miller Ave Ste C
Mill Valley, CA 94941-2858

Phone

(415) 946-9428

NPI assigned

Jan 16, 2021

Organization subpart

No

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

Authorized official

Name

Lisa Robertson Veyssiere, LCSW

Title

Owner

Phone

(415) 936-9428

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Robertson Veyssiere, LCSW

  • Clinical Social Worker
  • Mill Valley, CA
  • NPI 1891171971
  NPD

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

{
    "created_epoch": "1610755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610755200000",
    "number": "1639768344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 CORTE MADERA TOWN CTR # 124",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251209",
            "telephone_number": "415-936-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MILLER AVE STE C",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412858",
            "telephone_number": "415-946-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING ASSOCIATES OF MARIN, A LCSW ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A",
        "authorized_official_last_name": "VEYSSIERE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ROBERTSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-936-9428",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891171971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa M Congdon, M.D.
• Agatha Nancy Constance, ND
• Lauren Coomber
• Heloise Coppee
• Shari Lyn Coskey, PH.D.
• Terri Lynn Cousley, M.S., CCC - SLP
• Megan Craig, PT
• Martha Crawford, LAC
• Kathleen Ann Crisp, D.C.
• Lauren Marie Cunico, PHARMD

• Clinical Social Worker in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.