MS. SUSAN A ROLD MFT - NPI 1356589295 - Marriage & Family Therapist in Roseville, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Ms. Susan A Rold Mft NPPES

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

MS. SUSAN A ROLD MFT (NPI 1356589295) is an individual marriage & family therapist in Roseville, California, licensed in California (MFC36693) and active in the NPI registry since January 2009. She has opted out of Medicare through September 3, 2027.

NPPES Registry Identity

NPI1356589295

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. SUSAN A ROLDCredential: MFT

Location Address2330 PROFESSIONAL DR, SUITE 100CRoseville, CA 95661-7781

Mailing Address2330 Professional Dr, Suite 100cRoseville, CA 95661-7781 · (916) 791-5487 · Fax (916) 786-5487

Phone(916) 791-5487

Fax(916) 786-5487

Sole ProprietorNo

Enumeration DateJanuary 30, 2009

✔ NPI 1356589295 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 · MFC36693

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.

2330 PROFESSIONAL DR, Roseville, CA 95661

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Susan A Rold Mft 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 September 3, 2025 through September 3, 2027.

Opt-Out Effective DateSeptember 3, 2025

Opt-Out In Effect ThroughSeptember 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.