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MATTHEW VAN PELT
NPI 1477204865
Marriage & Family Therapist in Alameda, CA

Active since January 17, 2022Opted out of Medicare · through Jan 29, 2028
564 CENTRAL AVE APT 124, ALAMEDA, CA 94501(510) 859-4448 Get Directions Write a Review

NPPES record last updated: July 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 30, 2023, Jan 17, 2022 (2 updates tracked since 2022).

About Matthew Van Pelt NPPES

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

MATTHEW VAN PELT (NPI 1477204865) is an individual marriage & family therapist in Alameda, California, licensed in California (139825) and active in the NPI registry since January 2022. He has opted out of Medicare through January 29, 2028.

NPPES Registry Identity

NPI1477204865
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMATTHEW VAN PELT
Location Address564 CENTRAL AVE APT 124Alameda, CA 94501-3749
Mailing Address564 Central Ave Apt 124Alameda, CA 94501-3749 · (310) 804-5330
Phone(510) 859-4448
Sole ProprietorYes
Enumeration DateJanuary 17, 2022
Last NPPES UpdateJuly 30, 20232 updates tracked since enumeration
NPPES CertifiedJuly 30, 2023
✔ NPI 1477204865 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 · 139825
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.
564 CENTRAL AVE APT 124, Alameda, CA 94501
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Matthew Van Pelt 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 29, 2024 through January 29, 2028.

Opt-Out Effective DateJanuary 29, 2024
Opt-Out In Effect ThroughJanuary 29, 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 Matthew Van Pelt's NPI number?

The NPI number for Matthew Van Pelt is 1477204865. It was assigned to this individual provider in the NPPES registry on January 17, 2022.

Where is Matthew Van Pelt located?

Matthew Van Pelt practices at 564 Central Ave Apt 124, Alameda, CA 94501. The listed phone number is (510) 859-4448.

What is Matthew Van Pelt's specialty?

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

Is Matthew Van Pelt enrolled in Medicare?

No. Matthew Van Pelt has opted out of Medicare through January 29, 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 Matthew Van Pelt was last updated on July 30, 2023. 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.