Active NPI
Elizabeth P Greason, L.C.S.W.
- Mental Health Counselor
- Kentfield, CA
National Provider Identifier
1962457655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCS18887
- 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, 2010
- 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 | 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCS18887 | CA | MD | Mental Health Counselor |
| 18887 | CA | MD | Marriage & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.