1. Home
  2. Directory
  3. California
  4. Berkeley
  5. Marriage Family Therapist
  6. NPI Profile

MS. SUSANNE STOLCKE M.A., MFT
NPI 1497933055
Marriage & Family Therapist in Berkeley, CA

Active since February 06, 2008Opted out of Medicare · through Jan 1, 2028
2041 BANCROFT WAY, SUITE 310, BERKELEY, CA 94704(510) 375-4575 Get Directions Write a Review

NPPES record last updated: July 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Susanne Stolcke M.a., Mft NPPES

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

MS. SUSANNE STOLCKE M.A., MFT (NPI 1497933055) is an individual marriage & family therapist in Berkeley, California, licensed in California (MFC45227) and active in the NPI registry since February 2008. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1497933055
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. SUSANNE STOLCKECredential: M.A., MFT
Location Address2041 BANCROFT WAY, SUITE 310Berkeley, CA 94704-1405
Mailing Address2041 Bancroft Way, Suite 310Berkeley, CA 94704-1405 · (510) 375-4575
Phone(510) 375-4575
Sole ProprietorYes
Enumeration DateFebruary 6, 2008
Last NPPES UpdateJuly 5, 2013
✔ NPI 1497933055 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 · MFC45227
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.
2041 BANCROFT WAY, Berkeley, CA 94704
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Susanne Stolcke M.a., Mft 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.

Other Providers at the Same Location NPPES 16

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

BERKELEY PHYSICAL THERAPY INC
Physical Therapist
2041 BANCROFT WAY, STE 301
BERKELEY, CA 94704
Alameda County (510) 549-2225
MRS. DIANE MARY KERN PT
Physical Therapist
2041 BANCROFT WAY, SUITE 301
BERKELEY, CA 94704
Alameda County (510) 549-2225
MONIKA ELIZABETH MANN RPT
Physical Therapist
2041 BANCROFT WAY, BERKELEY PHYSICAL THERAPY
BERKELEY, CA 94704
Alameda County (510) 549-2225
MR. ALLAN JAY HORWITZ PT
Physical Therapist
2041 BANCROFT WAY, STE 301
BERKELEY, CA 94704
Alameda County (510) 549-2225
MRS. VANESSA CAROLINE MORRISON LMFT
Marriage & Family Therapist
2041 BANCROFT WAY, SUITE 307
BERKELEY, CA 94704
Alameda County (707) 278-8472
MS. NADINE TANG MSW
Social Worker (Clinical)
2041 BANCROFT WAY, SUITE 310
BERKELEY, CA 94704
Alameda County (510) 843-1512
REBECCA KROW-BONISKE KOLTA DPT
Physical Therapist
2041 BANCROFT WAY, SUITE 301
BERKELEY, CA 94704
Alameda County (510) 549-2225
JANET YAMADA SOTO PT
Physical Therapist
2041 BANCROFT WAY, STE 301
BERKELEY, CA 94704
Alameda County (510) 549-2225

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 Susanne Stolcke's NPI number?

The NPI number for Susanne Stolcke is 1497933055. It was assigned to this individual provider in the NPPES registry on February 6, 2008.

Where is Susanne Stolcke located?

Susanne Stolcke practices at 2041 Bancroft Way Suite 310, Berkeley, CA 94704. The listed phone number is (510) 375-4575.

What is Susanne Stolcke's specialty?

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

Is Susanne Stolcke enrolled in Medicare?

No. Susanne Stolcke 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 Susanne Stolcke was last updated on July 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.