JOSEPH LIDO PETRONI II LMFT
NPI 1295010023
Marriage & Family Therapist in Modesto, CA

Active since October 12, 2011PECOS Enrolled
800 SCENIC DR, BUILDING D, MODESTO, CA 95350(209) 525-6070 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2026, Apr 19, 2017 (2 updates tracked since 2017).

About Joseph Lido Petroni Ii Lmft NPPES

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

JOSEPH LIDO PETRONI II LMFT (NPI 1295010023) is an individual marriage & family therapist in Modesto, California, licensed in California (99187) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Coeur D Alene, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295010023
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameJOSEPH LIDO PETRONI IICredential: LMFT
Location Address800 SCENIC DR, BUILDING DModesto, CA 95350-6131
Mailing Address800 Scenic Dr Bldg DModesto, CA 95350-6131 · (209) 525-6070
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 12, 2011
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1295010023 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 · 99187✔ Licensed in ID · 1971077
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.
800 SCENIC DR, Modesto, CA 95350

Secondary Practice Location 1

Location 1914 W Ironwood Dr Ste 101Coeur D Alene, ID 83814-4927 · Phone (208) 625-3500 · Fax (208) 625-3501

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Lido Petroni Ii Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294224499
PECOS Enrollment IDI20251028004268
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 Joseph Petroni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 472 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.

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
800 SCENIC DR
MODESTO, CA 95350
Case Manager/Care Coordinator
800 SCENIC DR
MODESTO, CA 95350
Marriage & Family Therapist
800 SCENIC DR
MODESTO, CA 95350
Social Worker (Clinical)
800 SCENIC DR
MODESTO, CA 95350
Community/Behavioral Health
800 SCENIC DR
MODESTO, CA 95350
Counselor (Professional)
800 SCENIC DR
MODESTO, CA 95350
Community/Behavioral Health
800 SCENIC DR
MODESTO, CA 95350
Marriage & Family Therapist
800 SCENIC DR, BLDG 4
MODESTO, CA 95350

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 Joseph Petroni's NPI number?

The NPI number for Joseph Petroni is 1295010023. It was assigned to this individual provider in the NPPES registry on October 12, 2011.

Where is Joseph Petroni located?

Joseph Petroni practices at 800 Scenic Dr Building D, Modesto, CA 95350. The listed phone number is (209) 525-6070.

What is Joseph Petroni's specialty?

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

Is Joseph Petroni enrolled in Medicare?

Yes. Joseph Petroni is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joseph Petroni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Petroni reassigns Medicare benefits to Kootenai Health, Inc. (Coeur D Alene, ID). 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 Joseph Petroni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Petroni accept?

Health plans from Ambetter Health, Molina Healthcare, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Joseph Petroni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Petroni was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.