Active NPI
Amy Grace Canton
- Mental Health Counselor
- Novato, CA
National Provider Identifier
1821536657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I88065
- Practice address
- 411 Alameda del Prado
Novato, CA 94949-6302 - Phone
- (415) 302-2835
- NPI assigned
- Jan 31, 2017
- Last updated
- Jan 31, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I88065 | CA | Primary |
Addresses
Primary practice location
411 Alameda del Prado
Novato, CA 94949-6302
Mailing address
411 Alameda del Prado
Novato, CA 94949-6302
Phone (415) 302-2835
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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 499-6835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I88065 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Marin | Current | Accepting new patients | |
| County of Marin | Current | Accepting new patients |
Locations
250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350
3230 Kerner Blvd
San Rafael, CA 94901
Phone (415) 473-6724
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- San Rafael, CA
- NPI 1912116252
-
- Adolescent and Children Mental Health Clinic/Center
- San Rafael, CA
- NPI 1366507295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1821536657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 ALAMEDA DEL PRADO",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496302",
"telephone_number": "415-302-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 ALAMEDA DEL PRADO",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496302",
"telephone_number": "415-302-2835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTON",
"first_name": "AMY",
"middle_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-31",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "I88065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novato, CA
- California Pacific Pathology Medical Group
- Kathleen Anne Calvano
- Maryann Frances Campbell, RNC-NIC MS CNS
- Maria Cancio, RN
- Mara Canizzaro, L.AC.
- Mariana Caplan, PHD
- Cynthia Newton Captain, AMFT
- Benjamin Arthur Carey, MD
- Tammy Jane Carlin, OT
- Carmela Floro Licensed Marriage & Family Therapist a Professional Co
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.