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LISA MARIE ANDROVICH LMFT
NPI 1114694908
Marriage & Family Therapist in Cameron Park, CA

Active since August 27, 2021Opted out of Medicare · through Jan 1, 2028
3430 ROBIN LN # 4, CAMERON PARK, CA 95682(530) 676-2899(530) 387-6456 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Marie Androvich Lmft NPPES

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

LISA MARIE ANDROVICH LMFT (NPI 1114694908) is an individual marriage & family therapist in Cameron Park, California, licensed in California (127472) and active in the NPI registry since August 2021. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1114694908
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLISA MARIE ANDROVICHCredential: LMFT
Location Address3430 ROBIN LN # 4Cameron Park, CA 95682-8407
Mailing Address971 Via TrevisoEl Dorado Hills, CA 95762-7246 · (530) 919-3969
Phone(530) 676-2899
Fax(530) 387-6456
Sole ProprietorYes
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 25, 2021
✔ NPI 1114694908 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 · 127472
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.
3430 ROBIN LN # 4, Cameron Park, CA 95682
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Lisa Marie Androvich Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Lisa Androvich's NPI number?

The NPI number for Lisa Androvich is 1114694908. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Lisa Androvich located?

Lisa Androvich practices at 3430 Robin Ln # 4, Cameron Park, CA 95682. The listed phone number is (530) 676-2899.

What is Lisa Androvich's specialty?

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

Is Lisa Androvich enrolled in Medicare?

No. Lisa Androvich has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Androvich was last updated on August 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.