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DR. RANDALL ROY HETTICH PH.D., L.M.F.T.
NPI 1457481244
Marriage & Family Therapist in West Covina, CA

Active since March 07, 2007PECOS Enrolled
1511 W GARVEY AVE N, SUITE 100, WEST COVINA, CA 91790(626) 960-4844(626) 856-3010 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Randall Roy Hettich Ph.d., L.m.f.t. NPPES

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

DR. RANDALL ROY HETTICH PH.D., L.M.F.T. (NPI 1457481244) is an individual marriage & family therapist in West Covina, California, licensed in California (MFC41087) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457481244
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. RANDALL ROY HETTICHCredential: PH.D., L.M.F.T.
Location Address1511 W GARVEY AVE N, SUITE 100West Covina, CA 91790-2138
Mailing Address1511 W Garvey Ave NWest Covina, CA 91790-2138 · (626) 960-4844 · Fax (626) 856-3010
Phone(626) 960-4844
Fax(626) 856-3010
Sole ProprietorNo
Enumeration DateMarch 7, 2007
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1457481244 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 · MFC41087
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.
1511 W GARVEY AVE N, West Covina, CA 91790
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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)

Dr. Randall Roy Hettich Ph.d., L.m.f.t. 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 Reassignment

Medicare enrollment records show Randall Hettich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2.8 mi
Health Maintenance Organization
1011 BALDWIN PARK BLVD
Baldwin Park, CA 91706
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1770515280 (626) 851-1011

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 9

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

CRAIG ALAN HARRIS M.D.
Psychiatry & Neurology (Psychiatry)
1511 W GARVEY AVE N
WEST COVINA, CA 91790
Los Angeles County (626) 960-4844
LISETTE PINEDO LCSW #89127
Social Worker (Clinical)
1511 W GARVEY AVE N
WEST COVINA, CA 91790
Los Angeles County (626) 960-4844
DR. HELEN BASHOURA M.D.
Psychiatry & Neurology (Psychiatry)
1511 W GARVEY AVE N
WEST COVINA, CA 91790
Los Angeles County (626) 960-4844
DR. DEREK JAMES LANUTO MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1511 W GARVEY AVE N
WEST COVINA, CA 91790
Los Angeles County (626) 960-4844
DR. JAMES SCOTT HENNING PH.D.
Psychologist
1511 W GARVEY AVE N
WEST COVINA, CA 91790
Los Angeles County (626) 960-4844
YADIRA CARDENAS LCSW
Social Worker (Clinical)
1511 W GARVEY AVE N
WEST COVINA, CA 91790
Los Angeles County (626) 960-4844
JOSE LUIS FRANCO
Marriage & Family Therapist
1511 W GARVEY AVE N
WEST COVINA, CA 91790
Los Angeles County (626) 960-4844
DR. CORNELL WELLS JR. M.D.
Psychiatry & Neurology (Psychiatry)
1511 W GARVEY AVE N
WEST COVINA, CA 91790
Los Angeles County (626) 960-4844

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 Randall Hettich's NPI number?

The NPI number for Randall Hettich is 1457481244. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Randall Hettich located?

Randall Hettich practices at 1511 W Garvey Ave N Suite 100, West Covina, CA 91790. The listed phone number is (626) 960-4844.

What is Randall Hettich's specialty?

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

Is Randall Hettich enrolled in Medicare?

Yes. Randall Hettich is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randall Hettich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Hettich reassigns Medicare benefits to Southern California Permanente Medical Group (Baldwin Park, CA). The 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 Randall Hettich'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 Randall Hettich was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.