IndividualActive
Tiawana Bullock
NPI 1306985502 · Counselor · San Rafael, CA
Tiawana Bullock is a Counselor provider in San Rafael, CA (NPI 1306985502).
Provider details
- NPI number
- 1306985502
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
555 Northgate Dr
Family Service Agency of Marin
San Rafael, CA 94903
Phone: (415) 491-5700
Fax: (415) 491-5750
Street-level locationGet directions
Mailing address
555 Northgate Dr
San Rafael, CA 94903
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Tiawana Bullock's NPI number?
- Tiawana Bullock's National Provider Identifier (NPI) is 1306985502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tiawana Bullock's specialty?
- Tiawana Bullock is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Tiawana Bullock located?
- Tiawana Bullock's practice location on file with NPPES is 555 Northgate Dr, San Rafael, CA 94903.
- What is Tiawana Bullock's phone number?
- The practice phone number listed in the NPPES registry for Tiawana Bullock is (415) 491-5700.
- Is Tiawana Bullock's NPI active?
- Yes — Tiawana Bullock's NPI (1306985502) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.