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CYNTHIA SMITH STEPHAN LMFT
NPI 1174256903
Marriage & Family Therapist in San Rafael, CA

Active since July 08, 2022Opted out of Medicare · through May 19, 2028
1330 LINCOLN AVE STE 105, SAN RAFAEL, CA 94901(415) 322-0491 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Mar 26, 2025, Jul 8, 2022 (3 updates tracked since 2022).

About Cynthia Smith Stephan Lmft NPPES

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

CYNTHIA SMITH STEPHAN LMFT (NPI 1174256903) is an individual marriage & family therapist in San Rafael, California, licensed in California (163304) and active in the NPI registry since July 2022. She has opted out of Medicare through May 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174256903
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCYNTHIA SMITH STEPHANCredential: LMFT
Location Address1330 LINCOLN AVE STE 105San Rafael, CA 94901-2141
Mailing Address261 Purdue AveKensington, CA 94708-1136 · (415) 322-0491
Phone(415) 322-0491
Sole ProprietorYes
Enumeration DateJuly 8, 2022
Last NPPES UpdateMay 7, 20263 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1174256903 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 · 163304
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.
1330 LINCOLN AVE STE 105, San Rafael, CA 94901
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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

Cynthia Smith Stephan 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 May 19, 2026 through May 19, 2028.

Opt-Out Effective DateMay 19, 2026
Opt-Out In Effect ThroughMay 19, 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.

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 Cynthia Stephan's NPI number?

The NPI number for Cynthia Stephan is 1174256903. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Where is Cynthia Stephan located?

Cynthia Stephan practices at 1330 Lincoln Ave Ste 105, San Rafael, CA 94901. The listed phone number is (415) 322-0491.

What is Cynthia Stephan's specialty?

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

Is Cynthia Stephan enrolled in Medicare?

No. Cynthia Stephan has opted out of Medicare through May 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Cynthia Stephan was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.