BRAD FITZGERALD LABASS LMFT
NPI 1114548047
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Brad Labass's NPI number?

The NPI number for Brad Labass is 1114548047. It was assigned to this individual provider in the NPPES registry on May 1, 2020.

Q: What is Brad Labass's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brad Labass was last updated on July 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2020PECOS Enrolled

2255 CHALLENGER WAY STE 107, SANTA ROSA, CA 95407(707) 565-4797(707) 565-4881 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Brad Fitzgerald Labass Lmft NPPES

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

BRAD FITZGERALD LABASS LMFT (NPI 1114548047) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (53462) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114548047

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameBRAD FITZGERALD LABASSCredential: LMFT

Location Address2255 CHALLENGER WAY STE 107Santa Rosa, CA 95407-5423

Mailing Address1305 Evergreen LnPetaluma, CA 94954-5415 · (707) 322-9994

Phone(707) 565-4797

Fax(707) 565-4881

Sole ProprietorNo

Enumeration DateMay 1, 2020

Last NPPES UpdateJuly 10, 2025

NPPES CertifiedJuly 10, 2025

✔ NPI 1114548047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 53462

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.

2255 CHALLENGER WAY STE 107, Santa Rosa, CA 95407

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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)

Brad Fitzgerald Labass Lmft 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.

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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.

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