DOMINIQUE MICHELE YARRITU MA, LMFT
NPI 1164858916
Marriage & Family Therapist in San Jose, CA

Q: What is Dominique Yarritu's NPI number?

The NPI number for Dominique Yarritu is 1164858916. It was assigned to this individual provider in the NPPES registry on September 24, 2013.

Q: What is Dominique Yarritu's specialty?

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

Q: Is Dominique Yarritu enrolled in Medicare?

No. Dominique Yarritu 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 Dominique Yarritu was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 24, 2013Opted out of Medicare · through Jan 1, 2028

1210 S BASCOM AVE STE 114, SAN JOSE, CA 95128(408) 800-3958 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2022, Oct 13, 2019 (2 updates tracked since 2019).

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About Dominique Michele Yarritu Ma, Lmft NPPES

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

DOMINIQUE MICHELE YARRITU MA, LMFT (NPI 1164858916) is an individual marriage & family therapist in San Jose, California and active in the NPI registry since September 2013. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1164858916

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDOMINIQUE MICHELE YARRITUCredential: MA, LMFT

Location Address1210 S BASCOM AVE STE 114San Jose, CA 95128-3535

Mailing Address1210 S Bascom Ave Ste 114San Jose, CA 95128-3535 · (408) 800-3958

Phone(408) 800-3958

Sole ProprietorYes

Enumeration DateSeptember 24, 2013

Last NPPES UpdateApril 7, 20222 updates tracked since enumeration

NPPES CertifiedApril 7, 2022

✔ NPI 1164858916 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.

1210 S BASCOM AVE STE 114, San Jose, CA 95128

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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

Dominique Michele Yarritu Ma, 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

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 9

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

BONNIE REGAN LMFT, LPCC

Marriage & Family Therapist