Marin Family Recovery

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

2256 Issued in CA

Legal business name

MARIN FAMILY RECOVERY

Practice address

1209 Third St. Ste 4
San Rafael, CA 94901

Phone

(415) 450-1149

Fax

(415) 727-1010

NPI assigned

May 15, 2017

Organization subpart

No

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

Authorized official

Name

Ginny BahrNPI 1568917995

Title

Owner

Phone

(415) 741-5483

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.

• Ginny Bahr, LPCC

  • Professional Counselor
  • San Rafael, CA
  • NPI 1568917995
  NPD Authorized official

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1689101107",
    "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": "415-741-5483",
            "fax_number": "415-727-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 THIRD ST. STE 4",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94901",
            "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": "415-741-5483",
            "fax_number": "415-727-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARIN FAMILY RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BAHR",
        "authorized_official_first_name": "GINNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-741-5483"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "2256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1568917995",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marin County Office of Education
• Marin County Public Health
• Marin County TCM Program
• Marin Creates Dba Enterprise Resource Center
• Marin Dermatology Associates
• Marin General Hospital
• Marin Health Ventures, LLC
• Marin Healthcare District
• Marin Hills Medical Group Inc
• Marin Home Care Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.