MR. NICHOLAS COLEMAN PLASTIRAS
NPI 1265005730
Marriage & Family Therapist in Novato, CA

Q: What is Nicholas Plastiras's NPI number?

The NPI number for Nicholas Plastiras is 1265005730. It was assigned to this individual provider in the NPPES registry on July 21, 2021.

Q: What is Nicholas Plastiras's specialty?

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

Q: Is Nicholas Plastiras enrolled in Medicare?

No. Nicholas Plastiras has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since July 21, 2021Opted out of Medicare · through Jan 1, 2028

680 WILSON AVE, NOVATO, CA 94947(415) 892-1643(415) 892-5098 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2021, Jul 21, 2021 (2 updates tracked since 2021).

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About Mr. Nicholas Coleman Plastiras NPPES

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

MR. NICHOLAS COLEMAN PLASTIRAS (NPI 1265005730) is an individual marriage & family therapist in Novato, California, licensed in California (131764) and active in the NPI registry since July 2021. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1265005730

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. NICHOLAS COLEMAN PLASTIRAS

Location Address680 WILSON AVENovato, CA 94947-3825

Mailing Address33 Merwin Ave Apt 4Fairfax, CA 94930-1644 · (415) 994-1106

Phone(415) 892-1643

Fax(415) 892-5098

Sole ProprietorNo

Enumeration DateJuly 21, 2021

Last NPPES UpdateMarch 29, 20222 updates tracked since enumeration

NPPES CertifiedMarch 22, 2022

✔ NPI 1265005730 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 · 131764

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.

680 WILSON AVE, Novato, CA 94947

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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

Mr. Nicholas Coleman Plastiras 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

SUSAN K VEENSCHOTEN

Student in an Organized Health Care Education/Training Program