Healthcare Provider Details

I. General information

NPI: 1164386025
Provider Name (Legal Business Name): KIRI MAURA CHOW MCCART APCC, LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2903 SACRAMENTO ST
BERKELEY CA
94702-2509
US

IV. Provider business mailing address

PO BOX 412
LAGUNITAS CA
94938-0412
US

V. Phone/Fax

Practice location:
  • Phone: 707-861-8549
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC.61514828
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15957
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: