Active NPI
Deborah Ann Spake, LMFT
- Marriage & Family Therapist
- Sausalito, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 109339
- Practice address
- 100 Phillips Dr
Sausalito, CA 94965-1172 - Phone
- (415) 339-8813
- Fax
- (415) 339-8814
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 109339 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
100 Phillips Dr
Sausalito, CA 94965-1172
Mailing address
100 Phillips Dr
Sausalito, CA 94965-1172
Phone (415) 339-8813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
781 Hart St
Brooklyn, NY 11237-3549
880 Las Gallinas Ave
Suite 7
San Rafael, CA 94903-3463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109339 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marin City Health and Wellness Center | Current | Accepting new patients | |
| Marin City Health and Wellness Center | Current | Accepting new patients |
Locations
880 Las Gallinas Ave
Ste 2
San Rafael, CA 94903
Phone (415) 339-8813
100 Phillips Dr
Sausalito, CA 94965
Phone (415) 339-8813
630 Drake Ave
Sausalito, CA 94965
Phone (415) 339-8813
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Sausalito, CA
- NPI 1285804948
-
- Federally Qualified Health Center (FQHC)
- Sausalito, CA
- NPI 1902681489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1740530815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PHILLIPS DR",
"city": "SAUSALITO",
"state": "CA",
"postal_code": "949651172",
"telephone_number": "415-339-8813",
"fax_number": "415-339-8814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PHILLIPS DR",
"city": "SAUSALITO",
"state": "CA",
"postal_code": "949651172",
"telephone_number": "415-339-8813",
"fax_number": "415-339-8814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAKE",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "109339",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sausalito, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.