PETER VAN AUKEN LMFT
NPI 1205580743
Marriage & Family Therapist in Sausalito, CA

Active since February 03, 2022Opted out of Medicare · through Feb 12, 2028
3030 BRIDGEWAY STE 234, SAUSALITO, CA 94965(415) 265-5167 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Peter Van Auken Lmft NPPES

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

PETER VAN AUKEN LMFT (NPI 1205580743) is an individual marriage & family therapist in Sausalito, California, licensed in California (LMFT98898) and active in the NPI registry since February 2022. He has opted out of Medicare through February 12, 2028.

NPPES Registry Identity

NPI1205580743
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NamePETER VAN AUKENCredential: LMFT
Location Address3030 BRIDGEWAY STE 234Sausalito, CA 94965-2899
Mailing Address703 E D StPetaluma, CA 94952-3215 · (415) 265-5167
Sole ProprietorYes
Enumeration DateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
NPI 1205580743 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 · LMFT98898
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.
3030 BRIDGEWAY STE 234, Sausalito, CA 94965

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Peter Van Auken Lmft 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 February 12, 2024 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2024
Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Peter Van Auken's NPI number?

The NPI number for Peter Van Auken is 1205580743. It was assigned to this individual provider in the NPPES registry on February 3, 2022.

Where is Peter Van Auken located?

Peter Van Auken practices at 3030 Bridgeway Ste 234, Sausalito, CA 94965. The listed phone number is (415) 265-5167.

What is Peter Van Auken's specialty?

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

Is Peter Van Auken enrolled in Medicare?

No. Peter Van Auken has opted out of Medicare through February 12, 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 Peter Van Auken was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.