MS. SUSAN SHEPRO MATTHIES MFT - NPI 1134327851 - Marriage & Family Therapist in Santa Rosa, CA

Q: What is Susan Matthies's NPI number?

The NPI number for Susan Matthies is 1134327851. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Q: What is Susan Matthies's specialty?

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

Q: Is Susan Matthies enrolled in Medicare?

No. Susan Matthies 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.

Q: When was this NPI record last updated?

The NPPES record for Susan Matthies was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Susan Shepro Matthies Mft NPPES

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

MS. SUSAN SHEPRO MATTHIES MFT (NPI 1134327851) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (MFC39010) and active in the NPI registry since July 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1134327851

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. SUSAN SHEPRO MATTHIESCredential: MFT

Location Address862 3RD STSanta Rosa, CA 95404-4529

Mailing Address862 3rd StSanta Rosa, CA 95404-4529 · (707) 526-6351 · Fax (707) 525-2776

Phone(707) 526-6351

Fax(707) 525-2776

Sole ProprietorYes

Enumeration DateJuly 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1134327851 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 · MFC39010

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.

862 3RD ST, Santa Rosa, CA 95404

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Susan Shepro Matthies Mft 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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

KATHLEEN WARWICK-SMITH M.A., M.F.T.

Marriage & Family Therapist