FRED FARHAD GHODSI MA, LMFT
NPI 1336491810
Marriage & Family Therapist in Sacramento, CA

Q: What is Fred Ghodsi's NPI number?

The NPI number for Fred Ghodsi is 1336491810. It was assigned to this individual provider in the NPPES registry on October 9, 2012.

Q: What is Fred Ghodsi'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 Fred Ghodsi was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since October 09, 2012PECOS EnrolledAccepts Medicare Assignment

1792 TRIBUTE RD STE 350, SACRAMENTO, CA 95815(916) 924-6400(916) 648-1614 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2024, Jun 27, 2018, Jun 11, 2018 and 3 more (6 updates tracked since 2016).

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About Fred Farhad Ghodsi Ma, Lmft NPPES

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

FRED FARHAD GHODSI MA, LMFT (NPI 1336491810) is an individual marriage & family therapist in Sacramento, California, licensed in California (106868) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1336491810

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameFRED FARHAD GHODSICredential: MA, LMFT

Location Address1792 TRIBUTE RD STE 350Sacramento, CA 95815-4322

Mailing Address3400 Data DrRancho Cordova, CA 95670-7956

Phone(916) 924-6400

Fax(916) 648-1614

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 9, 2012

Last NPPES UpdateSeptember 9, 20246 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2024

✔ NPI 1336491810 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 · 106868

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.

1792 TRIBUTE RD STE 350, Sacramento, CA 95815

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fred Farhad Ghodsi Ma, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799125720

PECOS Enrollment IDI20240424002881

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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CINDY M KOENIG AMFT

Marriage & Family Therapist