Individual provider Active NPI

Elizabeth P Greason, L.C.S.W.

  • Mental Health Counselor
  • Kentfield, CA
National Provider Identifier
1962457655
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS18887 Issued in CA
Practice address
905 Sir Francis Drake Blvd
Kentfield, CA 94904-1588
Phone
(415) 454-2636
Fax
(415) 454-2636
NPI assigned
May 23, 2006
Last updated
Sep 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCS18887 CA Primary

Addresses

Primary practice location

905 Sir Francis Drake Blvd
Kentfield, CA 94904-1588

Mailing address

15 Brookside Dr
San Anselmo, CA 94960-1442
Phone (415) 454-2636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2016 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS18887CAMDMental Health Counselor
18887CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1962457655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BROOKSIDE DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601442",
            "telephone_number": "415-454-2636",
            "fax_number": "415-454-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SIR FRANCIS DRAKE BLVD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041588",
            "telephone_number": "415-454-2636",
            "fax_number": "415-454-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREASON",
        "first_name": "ELIZABETH",
        "middle_name": "P",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS18887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

Verify at the official NPI Registry.