Buckelew Program
NPI 1649587874ActiveOrganization· Counselor, Mental Health· San Rafael, CA
Counselor, Mental Health in San Rafael, California, registered in NPPES in September 2010. The authorized official on file is Katy Spense, Senior Site Manager.
Overview
| NPI | 1649587874 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 9, 2010 |
| Last updated in NPPES | Sep 9, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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