MR. JOHN CHARLES ROEDEL LMFT - NPI 1285833962 - Marriage & Family Therapist in San Leandro, CA

Q: 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.

Q: What is John Roedel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Roedel was last updated on January 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1285833962

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. JOHN CHARLES ROEDELCredential: LMFT

Location Address777 DAVIS STSan Leandro, CA 94577-6923

Mailing Address777 Davis StSan Leandro, CA 94577-6923 · (513) 400-5460

Phone(513) 400-5460

Sole ProprietorNo

Enumeration DateJuly 13, 2007

Last NPPES UpdateJanuary 3, 20224 updates tracked since enumeration

NPPES CertifiedDecember 9, 2019

✔ NPI 1285833962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in CA · 46086✔ Licensed in IN · 35002003A

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.

777 DAVIS ST, San Leandro, CA 94577

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Secondary Practice Locations 2

Location 11433 Covedale AveCincinnati, OH 45238-3866 · Phone (513) 400-5460

Location 21400 Shattuck Ave, Suite 7Berkeley, CA 94709-1411 · Phone (510) 883-9312

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Charles Roedel Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.