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BITTERROOT FAMILY THERAPY INC.
NPI 1003401910
Counselor - Mental Health in Fort Bragg, CA

Active since March 02, 2021
347 CYPRESS ST STE A, FORT BRAGG, CA 95437(707) 962-3161(707) 937-1876 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2021, Mar 2, 2021 (2 updates tracked since 2021).

About Bitterroot Family Therapy Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BITTERROOT FAMILY THERAPY INC. (NPI 1003401910) is a healthcare organization registered as a mental health in Fort Bragg, California and active in the NPI registry since March 2021. The organization lists Lisa Larimer Burtis, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1003401910
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBITTERROOT FAMILY THERAPY INC.
Location Address347 CYPRESS ST STE AFort Bragg, CA 95437-5458
Mailing AddressPo Box 653Mendocino, CA 95460-0653 · (707) 962-3161 · Fax (707) 937-1876
Phone(707) 962-3161
Fax(707) 937-1876
Organization SubpartNo
Authorized OfficialLisa Larimer BurtisChief Executive Officer · (707) 962-3161
Enumeration DateMarch 2, 2021
Last NPPES UpdateJune 20, 20222 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
✔ NPI 1003401910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
347 CYPRESS ST STE A, Fort Bragg, CA 95437
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Other Identifiers 1

Medicaid1952445454CA

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bitterroot Family Therapy Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bitterroot Family Therapy Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Peter Burtis, LMFT
Marriage and Family Therapist
NPI 1609083609
347 CYPRESS ST STE A
Fort Bragg, CA 95437
(707) 962-3161
✔ PECOS✔ Accepts MedicareSame address
Lisa Larimer Burtis, LMFT
Marriage and Family Therapist
NPI 1952445454
347 CYPRESS ST STE A
Fort Bragg, CA 95437
(707) 972-2261
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bitterroot Family Therapy Inc.'s NPI number?

The NPI number for Bitterroot Family Therapy Inc. is 1003401910. It was assigned to this organization in the NPPES registry on March 2, 2021.

Where is Bitterroot Family Therapy Inc. located?

Bitterroot Family Therapy Inc. is located at 347 Cypress St Ste A, Fort Bragg, CA 95437. The listed phone number is (707) 962-3161.

What is Bitterroot Family Therapy Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Bitterroot Family Therapy Inc. enrolled in Medicare?

Yes. Bitterroot Family Therapy Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bitterroot Family Therapy Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Marriage and Family Therapist, reassign their Medicare billing to Bitterroot Family Therapy Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bitterroot Family Therapy Inc. was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.