1. Home
  2. Directory
  3. California
  4. Fairfield
  5. Marriage Family Therapist
  6. NPI Profile

MR. RHUSSEL JEROME OJIBWAY LMFT
NPI 1174913990
Marriage & Family Therapist in Fairfield, CA

Active since February 02, 2015PECOS EnrolledAccepts Medicare Assignment
275 BECK AVE # 5-120, FAIRFIELD, CA 94533(707) 784-8036 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Rhussel Jerome Ojibway Lmft NPPES

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

MR. RHUSSEL JEROME OJIBWAY LMFT (NPI 1174913990) is an individual marriage & family therapist in Fairfield, California, licensed in California (109612) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1174913990
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. RHUSSEL JEROME OJIBWAYCredential: LMFT
Location Address275 BECK AVE # 5-120Fairfield, CA 94533-6804
Mailing Address275 Beck Ave # 5-120Fairfield, CA 94533-6804 · (707) 784-8036
Phone(707) 784-8036
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 2, 2015
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1174913990 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 · 109612
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.
275 BECK AVE # 5-120, Fairfield, CA 94533
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Rhussel Jerome Ojibway Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911404470
PECOS Enrollment IDI20251009002592
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Rhussel Ojibway's NPI number?

The NPI number for Rhussel Ojibway is 1174913990. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Where is Rhussel Ojibway located?

Rhussel Ojibway practices at 275 Beck Ave # 5-120, Fairfield, CA 94533. The listed phone number is (707) 784-8036.

What is Rhussel Ojibway's specialty?

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

Is Rhussel Ojibway enrolled in Medicare?

Yes. Rhussel Ojibway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rhussel Ojibway was last updated on September 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.