ROGER GROSSMAN LMFT
NPI 1407111933
Marriage & Family Therapist in Oakland, CA

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
3761 PARK BOULEVARD WAY APT 405, OAKLAND, CA 94610(914) 907-1497 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2026, Dec 5, 2023, Jan 16, 2021 and 2 more (5 updates tracked since 2017).

About Roger Grossman Lmft NPPES

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

ROGER GROSSMAN LMFT (NPI 1407111933) is an individual marriage & family therapist in Oakland, California, licensed in California (98803) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Mercy College (2010).

NPPES Registry Identity

NPI1407111933
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameROGER GROSSMANCredential: LMFT
Location Address3761 PARK BOULEVARD WAY APT 405Oakland, CA 94610-2843
Mailing Address3761 Park Boulevard Way Apt 405Oakland, CA 94610-2843 · (914) 907-1497
Sole ProprietorYes
Medical School CMSMercy CollegeGraduated 2010
Enumeration DateJuly 11, 2012
Last NPPES UpdateMarch 11, 20265 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1407111933 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 · 98803
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.
3761 PARK BOULEVARD WAY APT 405, Oakland, CA 94610

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

Roger Grossman 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 ID1951487925
PECOS Enrollment IDI20240205003398
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

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

Marriage & Family Therapist
3761 PARK BOULEVARD WAY APT 405
OAKLAND, CA 94610

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 Roger Grossman's NPI number?

The NPI number for Roger Grossman is 1407111933. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Roger Grossman located?

Roger Grossman practices at 3761 Park Boulevard Way Apt 405, Oakland, CA 94610. The listed phone number is (914) 907-1497.

What is Roger Grossman's specialty?

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

Is Roger Grossman enrolled in Medicare?

Yes. Roger Grossman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Roger Grossman was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.