MR. JOHN CHARLES ROEDEL LMFT
NPI 1285833962
Marriage & Family Therapist in San Leandro, CA
About Mr. John Charles Roedel Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN CHARLES ROEDEL LMFT (NPI 1285833962) is an individual marriage & family therapist in San Leandro, California, licensed in California (46086) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. John Charles Roedel Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Roedel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94116
- Reassigned Medicare billing, California enrollment
- 20,078 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 John Roedel's NPI number?
The NPI number for John Roedel is 1285833962. It was assigned to this individual provider in the NPPES registry on July 13, 2007.
Where is John Roedel located?
John Roedel practices at 777 Davis St, San Leandro, CA 94577. The listed phone number is (513) 400-5460.
What is John Roedel's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is John Roedel enrolled in Medicare?
Yes. John Roedel is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Roedel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Roedel reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, 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 John Roedel'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 John Roedel 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.
# Mr. John Charles Roedel, LMFT · NPI 1285833962
Marriage & Family Therapist provider in San Leandro, California. Individual provider, active in the CMS NPPES registry since July 13, 2007.
## Identity
- **NPI:** 1285833962 (Entity type: Individual)
- **Enumerated:** July 13, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 46086 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 DAVIS ST, San Leandro, CA 94577-6923
- **Phone:** (513) 400-5460
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1841373800, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285833962) · Data from the CMS NPPES public registry.