REBECCA PEGODA-HALLOCK
NPI 1194121699
Marriage & Family Therapist in Capitola, CA

Active since November 10, 2014PECOS EnrolledAccepts Medicare Assignment
4245 CAPITOLA RD STE 205, CAPITOLA, CA 95010(831) 345-2726(408) 524-4911 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rebecca Pegoda-hallock NPPES

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

REBECCA PEGODA-HALLOCK (NPI 1194121699) is an individual marriage & family therapist in Capitola, California, licensed in Oregon (T1721) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1194121699
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameREBECCA PEGODA-HALLOCK
Location Address4245 CAPITOLA RD STE 205Capitola, CA 95010-3573
Mailing Address4245 Capitola Rd Ste 205Capitola, CA 95010-3573 · (831) 345-2726 · Fax (408) 524-4911
Fax(408) 524-4911
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateNovember 10, 2014
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
✔ NPI 1194121699 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 OR · T1721✔ Licensed in CA · MFT32878
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.
4245 CAPITOLA RD STE 205, Capitola, CA 95010

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca Pegoda-hallock 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 ID7315462033
PECOS Enrollment IDI20250415003615
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 Rebecca Pegoda-hallock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 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

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

Marriage & Family Therapist
4245 CAPITOLA RD STE 205
CAPITOLA, CA 95010

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 Rebecca Pegoda-hallock's NPI number?

The NPI number for Rebecca Pegoda-hallock is 1194121699. It was assigned to this individual provider in the NPPES registry on November 10, 2014.

Where is Rebecca Pegoda-hallock located?

Rebecca Pegoda-hallock practices at 4245 Capitola Rd Ste 205, Capitola, CA 95010. The listed phone number is (831) 345-2726.

What is Rebecca Pegoda-hallock's specialty?

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

Is Rebecca Pegoda-hallock enrolled in Medicare?

Yes. Rebecca Pegoda-hallock 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.

Which organization bills Medicare for Rebecca Pegoda-hallock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Pegoda-hallock reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). 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 Rebecca Pegoda-hallock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rebecca Pegoda-hallock accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Rebecca Pegoda-hallock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rebecca Pegoda-hallock was last updated on July 20, 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.