BAY AREA CENTER FOR PSYCHOTHERAPY
NPI 1033634928
Marriage & Family Therapist in Sebastopol, CA

Active since August 11, 2017
105 MORRIS ST STE 180, SEBASTOPOL, CA 95472(707) 861-0658 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 21, 2024, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Bay Area Center For Psychotherapy NPPES

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

BAY AREA CENTER FOR PSYCHOTHERAPY (NPI 1033634928) is a healthcare organization registered as a marriage & family therapist in Sebastopol, California and active in the NPI registry since August 2017. The organization lists Jordan Pelot, Administrator/provider, as its authorized official.

NPPES Registry Identity

NPI1033634928
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameBAY AREA CENTER FOR PSYCHOTHERAPY
Location Address105 MORRIS ST STE 180Sebastopol, CA 95472-3835
Mailing Address105 Morris St Ste 180Sebastopol, CA 95472-3835 · (707) 861-0658
Organization SubpartNo
Authorized OfficialJordan PelotAdministrator/provider · (707) 861-0658
Enumeration DateAugust 11, 2017
Last NPPES UpdateNovember 21, 20244 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1033634928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
105 MORRIS ST STE 180, Sebastopol, CA 95472

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bay Area Center For Psychotherapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bay Area Center For Psychotherapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marriage and Family Therapist
NPI 1306127246
2901 SHATTUCK AVE SUITE E.
Berkeley, CA 94705
(510) 698-2579
✔ PECOS✔ Accepts Medicare48 mi

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 Bay Area Center For Psychotherapy's NPI number?

The NPI number for Bay Area Center For Psychotherapy is 1033634928. It was assigned to this organization in the NPPES registry on August 11, 2017.

Where is Bay Area Center For Psychotherapy located?

Bay Area Center For Psychotherapy is located at 105 Morris St Ste 180, Sebastopol, CA 95472. The listed phone number is (707) 861-0658.

What is Bay Area Center For Psychotherapy's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Bay Area Center For Psychotherapy enrolled in Medicare?

Yes. Bay Area Center For Psychotherapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bay Area Center For Psychotherapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Bay Area Center For Psychotherapy. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bay Area Center For Psychotherapy was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.