MEDICARE: KIRI MAURA CHOW MCCART APCC, LMHCA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MC.61514828	WA
2	101YM0800X	Mental Health Counselor	15957	CA

General Provider Information

NPI Number	:	1164386025
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRI MAURA CHOW MCCART APCC, LMHCA

Provider Business Mailing Address
First Line	:	PO BOX 412
Second Line	:
City	:	LAGUNITAS
State	:	CA
Zip	:	94938-0412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2903 SACRAMENTO ST
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94702-2509
Country	:	US
Telephone Number	:	707-861-8549
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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