CAROLYN ANN CACCIATORE M.A.
NPI 1083041651
Marriage & Family Therapist in Petaluma, CA

Q: What is Carolyn Cacciatore's NPI number?

The NPI number for Carolyn Cacciatore is 1083041651. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Q: What is Carolyn Cacciatore's specialty?

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

Active since September 27, 2013PECOS Enrolled

365 KUCK LN, PETALUMA, CA 94952(707) 795-6954 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carolyn Ann Cacciatore M.a. NPPES

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

CAROLYN ANN CACCIATORE M.A. (NPI 1083041651) is an individual marriage & family therapist in Petaluma, California, licensed in California (IMF 76011) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083041651

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCAROLYN ANN CACCIATORECredential: M.A.

Location Address365 KUCK LNPetaluma, CA 94952-9606

Mailing Address365 Kuck LnPetaluma, CA 94952-9606 · (707) 795-6954

Phone(707) 795-6954

Sole ProprietorNo

Enumeration DateSeptember 27, 2013

Last NPPES UpdateDecember 17, 2014

✔ NPI 1083041651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · IMF 76011

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.

Also ListedCounselorTaxonomy 101Y00000X · License IMF 76011 (CA)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License IMF 76011 (CA)

365 KUCK LN, Petaluma, CA 94952

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Ann Cacciatore M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY GIELEN

Counselor