TESS ROHOLT AMFT
NPI 1295255834
Marriage & Family Therapist in Richmond, CA

Q: What is Tess Roholt's NPI number?

The NPI number for Tess Roholt is 1295255834. It was assigned to this individual provider in the NPPES registry on June 25, 2017. The provider is also known as Terese Louise Roholt.

Q: What is Tess Roholt's specialty?

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

Q: Is Tess Roholt enrolled in Medicare?

No. Tess Roholt 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.

Q: When was this NPI record last updated?

The NPPES record for Tess Roholt was last updated on August 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 25, 2017Opted out of Medicare · through Jan 1, 2028

200 24TH ST, RICHMOND, CA 94804(510) 412-9200 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2020, Jun 25, 2017 (2 updates tracked since 2017).

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About Tess Roholt Amft NPPES

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

TESS ROHOLT AMFT (NPI 1295255834) is an individual marriage & family therapist in Richmond, California, licensed in California (113026) and active in the NPI registry since June 2017. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1295255834

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTESS ROHOLTCredential: AMFT

Location Address200 24TH STRichmond, CA 94804-1804

Mailing Address200 24th StRichmond, CA 94804-1804 · (510) 412-9200

Phone(510) 412-9200

Sole ProprietorNo

Enumeration DateJune 25, 2017

Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration

NPPES CertifiedAugust 6, 2020

✔ NPI 1295255834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 113026

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

200 24TH ST, Richmond, CA 94804

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Other Names 1

Other Name (5)Terese Louise Roholt

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tess Roholt Amft 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

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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.

KYLER ROMAN GREAVES STANION

Day Training/Habilitation Specialist