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MRS. ELIZABETH MARLEEN-BUTLER BEVAN MHTI
NPI 1356869424
Marriage & Family Therapist in Santa Rosa, CA

Active since September 08, 2017PECOS Enrolled
3371 PARKER HILL RD, SANTA ROSA, CA 95404(707) 535-0289 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Elizabeth Marleen-butler Bevan Mhti NPPES

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

MRS. ELIZABETH MARLEEN-BUTLER BEVAN MHTI (NPI 1356869424) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (99983) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356869424
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. ELIZABETH MARLEEN-BUTLER BEVANCredential: MHTI
Location Address3371 PARKER HILL RDSanta Rosa, CA 95404-1732
Mailing Address368 Fell StSan Francisco, CA 94102-5144 · (415) 861-0828 · Fax (415) 861-0257
Phone(707) 535-0289
Sole ProprietorNo
Enumeration DateSeptember 8, 2017
✔ NPI 1356869424 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 · 99983
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.
3371 PARKER HILL RD, Santa Rosa, CA 95404
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Elizabeth Marleen-butler Bevan Mhti 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Elizabeth Bevan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
84 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Grow Healthcare Group PC
90 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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.

ISABELLA MOLINA
Day Training/Habilitation Specialist
3371 PARKER HILL RD
SANTA ROSA, CA 95404
Sonoma County (707) 535-0289
JOANNE LUNA
Day Training/Habilitation Specialist
3371 PARKER HILL RD
SANTA ROSA, CA 95404
Sonoma County (707) 535-0289
JESSE REYES CUEVAS
Day Training/Habilitation Specialist
3371 PARKER HILL RD
SANTA ROSA, CA 95404
Sonoma County (707) 535-0289
LONI DOUCETTE
Counselor
3371 PARKER HILL RD
SANTA ROSA, CA 95404
Sonoma County (707) 535-0289
JENNIFER REA
Day Training/Habilitation Specialist
3371 PARKER HILL RD
SANTA ROSA, CA 95404
Sonoma County (707) 535-0289
SUSANA PACHECO
Community Health Worker
3371 PARKER HILL RD
SANTA ROSA, CA 95404
Sonoma County (707) 535-0289
MADISON GREEN
Day Training/Habilitation Specialist
3371 PARKER HILL RD
SANTA ROSA, CA 95404
Sonoma County (707) 535-0289
AMANI DOMINIKO
Day Training/Habilitation Specialist
3371 PARKER HILL RD
SANTA ROSA, CA 95404
Sonoma County (707) 535-0289

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 Elizabeth Bevan's NPI number?

The NPI number for Elizabeth Bevan is 1356869424. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Elizabeth Bevan located?

Elizabeth Bevan practices at 3371 Parker Hill Rd, Santa Rosa, CA 95404. The listed phone number is (707) 535-0289.

What is Elizabeth Bevan's specialty?

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

Is Elizabeth Bevan enrolled in Medicare?

Yes. Elizabeth Bevan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Bevan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Bevan reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Grow Healthcare Group PC (San Jose, CA). Each 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 Elizabeth Bevan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elizabeth Bevan was last updated on September 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.