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ALLEGRA LANGE
NPI 1194072769
Marriage & Family Therapist in San Bernardino, CA

Active since August 13, 2012PECOS Enrolled
600 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401(909) 522-4656(909) 763-5525 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2020, Oct 14, 2019 (2 updates tracked since 2019).

About Allegra Lange NPPES

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

ALLEGRA LANGE (NPI 1194072769) is an individual marriage & family therapist in San Bernardino, California, licensed in California (117287) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194072769
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameALLEGRA LANGE
Location Address600 N ARROWHEAD AVESan Bernardino, CA 92401-1164
Mailing Address600 N Arrowhead AveSan Bernardino, CA 92401-1164 · (909) 522-4656 · Fax (909) 763-5525
Phone(909) 522-4656
Fax(909) 763-5525
Sole ProprietorYes
Enumeration DateAugust 13, 2012
Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration
NPPES CertifiedAugust 5, 2020
✔ NPI 1194072769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 117287✔ Licensed in CA · IMF 80332
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.
600 N ARROWHEAD AVE, San Bernardino, CA 92401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allegra Lange 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 Reassignments

2

Medicare enrollment records show Allegra Lange reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Soultenders, Inc.
43 mi
Clinical
41 E FOOTHILL BLVD, SUITE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 273 clinicians in this Medicare group
NPI 1164617007 (626) 737-6034
Soultenders Psychological Services, Inc.
43 mi
Clinical
41 E FOOTHILL BLVD STE 102
Arcadia, CA 91006
  • Reassigned Medicare billing, California enrollment
  • 255 clinicians in this Medicare group
NPI 1235810722 (626) 701-4249

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 20

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

AYANA J GARCIA
Day Training/Habilitation Specialist
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 963-5355
SAVANNAH ROSE GARDNER
Day Training/Habilitation Specialist
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 963-5355
APRIL DRIVER
Licensed Vocational Nurse
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 963-5355
CORTNEY TWILA WINTERS LPT
Licensed Psychiatric Technician
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 963-5355
ASHLEY LACY ANGANU
Counselor (Mental Health)
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 963-5355
SPARKLE L BLACKWOOD
Counselor
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 963-5355
ERIC D DANIELS
Counselor
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 963-5355
DUANE NICHOLS
Counselor
600 N ARROWHEAD AVE
SAN BERNARDINO, CA 92401
San Bernardino County (909) 963-5355

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 Allegra Lange's NPI number?

The NPI number for Allegra Lange is 1194072769. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Where is Allegra Lange located?

Allegra Lange practices at 600 N Arrowhead Ave, San Bernardino, CA 92401. The listed phone number is (909) 522-4656.

What is Allegra Lange's specialty?

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

Is Allegra Lange enrolled in Medicare?

Yes. Allegra Lange is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Allegra Lange's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allegra Lange reassigns Medicare benefits to 2 organizations: Soultenders, Inc. (Arcadia, CA) and Soultenders Psychological Services, Inc. (Arcadia, CA). Each 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 Allegra Lange'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 Allegra Lange was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.