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DETRA FORD
NPI 1245706498
Marriage & Family Therapist in Coalinga, CA

Active since October 15, 2018PECOS EnrolledAccepts Medicare Assignment
415 CORNELL AVE, COALINGA, CA 93210(559) 341-3293 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2022, Oct 15, 2018 (2 updates tracked since 2018).

About Detra Ford NPPES

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

DETRA FORD (NPI 1245706498) is an individual marriage & family therapist in Coalinga, California, licensed in California (106209) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1245706498
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDETRA FORD
Location Address415 CORNELL AVECoalinga, CA 93210-1220
Mailing Address415 Cornell AveCoalinga, CA 93210-1220 · (559) 341-3293
Phone(559) 341-3293
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 15, 2018
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
✔ NPI 1245706498 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 · 106209
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.
415 CORNELL AVE, Coalinga, CA 93210
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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 and accepts Medicare assignment

Detra Ford 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 ID8921445875
PECOS Enrollment IDI20240327001392
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 Detra Ford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
122 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

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 Detra Ford's NPI number?

The NPI number for Detra Ford is 1245706498. It was assigned to this individual provider in the NPPES registry on October 15, 2018.

Where is Detra Ford located?

Detra Ford practices at 415 Cornell Ave, Coalinga, CA 93210. The listed phone number is (559) 341-3293.

What is Detra Ford's specialty?

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

Is Detra Ford enrolled in Medicare?

Yes. Detra Ford 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 Detra Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Detra Ford reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Detra Ford'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 Detra Ford was last updated on January 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.