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MR. PETER CHRISTOPHER ROUSSOS M.A.
NPI 1427264050
Marriage & Family Therapist in San Diego, CA

Active since May 14, 2007Opted out of Medicare · through Jan 1, 2028
4246 CORTE FAVOR, SAN DIEGO, CA 92130(858) 755-2505 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2022, Sep 8, 2022 (2 updates tracked since 2022).

About Mr. Peter Christopher Roussos M.a. NPPES

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

MR. PETER CHRISTOPHER ROUSSOS M.A. (NPI 1427264050) is an individual marriage & family therapist in San Diego, California, licensed in California (MFC34711) and active in the NPI registry since May 2007. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1427264050
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. PETER CHRISTOPHER ROUSSOSCredential: M.A.
Location Address4246 CORTE FAVORSan Diego, CA 92130-2181
Mailing Address3525 Suite A Del Mar Heights Road, Box 1840San Diego, CA 92130-2122 · (858) 755-2505
Phone(858) 755-2505
Sole ProprietorYes
Enumeration DateMay 14, 2007
Last NPPES UpdateNovember 3, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1427264050 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 · MFC34711
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.
4246 CORTE FAVOR, San Diego, CA 92130
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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

Mr. Peter Christopher Roussos M.a. 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
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.

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 Peter Roussos's NPI number?

The NPI number for Peter Roussos is 1427264050. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Peter Roussos located?

Peter Roussos practices at 4246 Corte Favor, San Diego, CA 92130. The listed phone number is (858) 755-2505.

What is Peter Roussos's specialty?

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

Is Peter Roussos enrolled in Medicare?

No. Peter Roussos 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.

When was this NPI record last updated?

The NPPES record for Peter Roussos was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.