Individual provider Active NPI

Macarena Cortina Petrasic, MA, AMFT

  • Counselor
  • Berkeley, CA
National Provider Identifier
1932069978
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
159438 Issued in CA
Practice address
2903 Sacramento St
Berkeley, CA 94702-2509
Phone
(415) 715-9583
NPI assigned
Nov 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 159438 CA Primary

Addresses

Primary practice location

2903 Sacramento St
Berkeley, CA 94702-2509

Mailing address

565 Brunswick Rd Ste 2
Grass Valley, CA 95945-9529
Phone (628) 245-5259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
159438CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Heart Healing Arts Inc CurrentSince Nov 18, 2025 Accepting new patients

Locations

2903 Sacramento St
Berkeley, CA 94702
Phone (415) 715-9583

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1932069978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 BRUNSWICK RD STE 2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459529",
            "telephone_number": "628-245-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 SACRAMENTO ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022509",
            "telephone_number": "415-715-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTINA PETRASIC",
        "first_name": "MACARENA",
        "credential": "MA, AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "159438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.