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MS. MELISSA FRANCES PEDERSEN MFT
NPI 1225360431
Marriage & Family Therapist in San Pedro, CA

Active since February 12, 2010Opted out of Medicare · through Feb 21, 2028
739 W 9TH ST, SAN PEDRO, CA 90731(310) 801-8152(310) 519-3980 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Melissa Frances Pedersen Mft NPPES

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

MS. MELISSA FRANCES PEDERSEN MFT (NPI 1225360431) is an individual marriage & family therapist in San Pedro, California, licensed in California (47759) and active in the NPI registry since February 2010. She has opted out of Medicare through February 21, 2028.

NPPES Registry Identity

NPI1225360431
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. MELISSA FRANCES PEDERSENCredential: MFT
Location Address739 W 9TH STSan Pedro, CA 90731-3601
Mailing Address739 W 9th StSan Pedro, CA 90731-3601 · (310) 801-8152 · Fax (310) 519-3980
Phone(310) 801-8152
Fax(310) 519-3980
Sole ProprietorYes
Enumeration DateFebruary 12, 2010
✔ NPI 1225360431 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 · 47759
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.
739 W 9TH ST, San Pedro, CA 90731
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Melissa Frances Pedersen Mft 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 21, 2024 through February 21, 2028.

Opt-Out Effective DateFebruary 21, 2024
Opt-Out In Effect ThroughFebruary 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

MELISSA F. PEDERSEN, MA MFT INC
Community/Behavioral Health
739 W 9TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 801-8152
MS. MARGUERITE JOANNE DOUMAK MFT
Marriage & Family Therapist
739 W 9TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 519-0897

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 Melissa Pedersen's NPI number?

The NPI number for Melissa Pedersen is 1225360431. It was assigned to this individual provider in the NPPES registry on February 12, 2010.

Where is Melissa Pedersen located?

Melissa Pedersen practices at 739 W 9th St, San Pedro, CA 90731. The listed phone number is (310) 801-8152.

What is Melissa Pedersen's specialty?

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

Is Melissa Pedersen enrolled in Medicare?

No. Melissa Pedersen has opted out of Medicare through February 21, 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 Melissa Pedersen was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.