MR. SASCHA KYSSA
NPI 1184355422
Marriage & Family Therapist in Eureka, CA

Active since June 17, 2022PECOS Enrolled
123 F ST STE F, EUREKA, CA 95501(707) 572-5767 Get Directions Write a Review

NPPES record last updated: July 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Sascha Kyssa NPPES

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

MR. SASCHA KYSSA (NPI 1184355422) is an individual marriage & family therapist in Eureka, California, licensed in California (127626) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184355422
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. SASCHA KYSSA
Location Address123 F ST STE FEureka, CA 95501-1048
Mailing Address1040 Los Gamos Rd Apt ASan Rafael, CA 94903-2569 · (515) 999-5553
Sole ProprietorYes
Enumeration DateJune 17, 2022
Last NPPES UpdateJuly 16, 2023
NPPES CertifiedJuly 16, 2023
✔ NPI 1184355422 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 · 127626
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.
123 F ST STE F, Eureka, CA 95501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sascha Kyssa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Sascha Kyssa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
123 F ST STE F
EUREKA, CA 95501
Social Worker (Clinical)
123 F ST STE F
EUREKA, CA 95501
Marriage & Family Therapist
123 F ST STE F
EUREKA, CA 95501
Marriage & Family Therapist
123 F ST STE F
EUREKA, CA 95501

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 Sascha Kyssa's NPI number?

The NPI number for Sascha Kyssa is 1184355422. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Sascha Kyssa located?

Sascha Kyssa practices at 123 F St Ste F, Eureka, CA 95501. The listed phone number is (707) 572-5767.

What is Sascha Kyssa's specialty?

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

Is Sascha Kyssa enrolled in Medicare?

Yes. Sascha Kyssa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sascha Kyssa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sascha Kyssa reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sascha Kyssa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sascha Kyssa was last updated on July 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.