SUSANNA VAKILI LMFT
NPI 1457714156
Marriage & Family Therapist in San Juan Capistrano, CA

Active since March 30, 2016Opted out of Medicare · through Jan 8, 2028
30290 RANCHO VIEJO RD STE 105, SAN JUAN CAPISTRANO, CA 92675(949) 505-3381 Get Directions Write a Review

NPPES record last updated: April 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susanna Vakili Lmft NPPES

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

SUSANNA VAKILI LMFT (NPI 1457714156) is an individual marriage & family therapist in San Juan Capistrano, California, licensed in California (90193) and active in the NPI registry since March 2016. She has opted out of Medicare through January 8, 2028.

NPPES Registry Identity

NPI1457714156
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSUSANNA VAKILICredential: LMFT
Location Address30290 RANCHO VIEJO RD STE 105San Juan Capistrano, CA 92675-1575
Mailing Address30290 Rancho Viejo Rd, Suite 105San Juan Capistrano, CA 92675-1577 · (949) 505-3381
Sole ProprietorYes
Enumeration DateMarch 30, 2016
Last NPPES UpdateApril 14, 2016
NPI 1457714156 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 · 90193
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.
30290 RANCHO VIEJO RD STE 105, San Juan Capistrano, CA 92675

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Susanna Vakili Lmft 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 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Susanna Vakili's NPI number?

The NPI number for Susanna Vakili is 1457714156. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Susanna Vakili located?

Susanna Vakili practices at 30290 Rancho Viejo Rd Ste 105, San Juan Capistrano, CA 92675. The listed phone number is (949) 505-3381.

What is Susanna Vakili's specialty?

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

Is Susanna Vakili enrolled in Medicare?

No. Susanna Vakili has opted out of Medicare through January 8, 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 Susanna Vakili was last updated on April 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.