Irina Pfening

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1109 Sir Francis Drake Blvd
Kentfield, CA 94904-1418

Phone

(415) 256-9995

NPI assigned

Jun 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Buckelew Programs

  • Mental Illness Community Based Residential Treatment Facility
  • Kentfield, CA
  • NPI 1861823262
  NPD (past)
• Buckelew Programs

  • Mental Illness Community Based Residential Treatment Facility
  • San Rafael, CA
  • NPI 1922334622
  NPD (past)
• Quest Programs, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Rafael, CA
  • NPI 1093345589
  NPD (past)

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1760176325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5715",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947050715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041418",
            "telephone_number": "415-256-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFENING",
        "first_name": "IRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parnell Medical Corporation
• Robert Alan Pedrin, M.D.
• Claudia T Perez, PH.D.
• Hector Daniel Perez, MD
• Charles George Peterfy, M.D., PH.D.
• Physiotherapy Associates Inc
• Tamena Potts
• Vanessa Powers
• Stephen M. Raffle, M.D.
• Archimedes Ramirez, M.D.

• Mental Health Counselor in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.