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CECILIA R PEREZ M.S. L.M.F.T.
NPI 1174822365
Marriage & Family Therapist in Petaluma, CA

Active since March 28, 2011Opted out of Medicare · through Mar 15, 2028
1 BODEGA AVE STE 2, PETALUMA, CA 94952(707) 490-2115(707) 782-0102 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2020, Dec 26, 2019, Jul 13, 2016 (3 updates tracked since 2016).

About Cecilia R Perez M.s. L.m.f.t. NPPES

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

CECILIA R PEREZ M.S. L.M.F.T. (NPI 1174822365) is an individual marriage & family therapist in Petaluma, California, licensed in California (80322) and active in the NPI registry since March 2011. She has opted out of Medicare through March 15, 2028 and maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1174822365
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCECILIA R PEREZCredential: M.S. L.M.F.T.
Location Address1 BODEGA AVE STE 2Petaluma, CA 94952-2672
Mailing Address1 Bodega Ave Ste 2Petaluma, CA 94952-2672 · (707) 490-2115 · Fax (707) 782-0102
Phone(707) 490-2115
Fax(707) 782-0102
Sole ProprietorYes
Enumeration DateMarch 28, 2011
Last NPPES UpdateJanuary 14, 20203 updates tracked since enumeration
✔ NPI 1174822365 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 · 80322
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.
1 BODEGA AVE STE 2, Petaluma, CA 94952
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Secondary Practice Location 1

Location 11260 N Dutton Ave Ste 230Santa Rosa, CA 95401-7161 · Phone (707) 525-1515 · Fax (707) 623-5092

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Cecilia R Perez M.s. L.m.f.t. 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 March 15, 2024 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2024
Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

MARGIE ROSE JAMIN MFT
Marriage & Family Therapist
1 BODEGA AVE STE 2
PETALUMA, CA 94952
Sonoma County (707) 782-0102

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 Cecilia Perez's NPI number?

The NPI number for Cecilia Perez is 1174822365. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Cecilia Perez located?

Cecilia Perez practices at 1 Bodega Ave Ste 2, Petaluma, CA 94952. The listed phone number is (707) 490-2115.

What is Cecilia Perez's specialty?

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

Is Cecilia Perez enrolled in Medicare?

No. Cecilia Perez has opted out of Medicare through March 15, 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 Cecilia Perez was last updated on January 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.