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MS. THERESA ANN GILLOTTI MA, MFT
NPI 1508047648
Marriage & Family Therapist in Concord, CA

Active since November 16, 2007PECOS Enrolled
1420 WILLOW PASS RD STE 200, CONCORD, CA 94520(925) 646-5813(925) 646-5622 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Theresa Ann Gillotti Ma, Mft NPPES

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

MS. THERESA ANN GILLOTTI MA, MFT (NPI 1508047648) is an individual marriage & family therapist in Concord, California, licensed in California (MFC 36296) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508047648
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. THERESA ANN GILLOTTICredential: MA, MFT
Location Address1420 WILLOW PASS RD STE 200Concord, CA 94520-5823
Mailing Address1420 Willow Pass Rd Ste 200Concord, CA 94520-5823 · (925) 646-5813 · Fax (925) 646-5622
Phone(925) 646-5813
Fax(925) 646-5622
Sole ProprietorNo
Enumeration DateNovember 16, 2007
Last NPPES UpdateDecember 30, 2021
✔ NPI 1508047648 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 · MFC 36296
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.
1420 WILLOW PASS RD STE 200, Concord, CA 94520
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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)

Ms. Theresa Ann Gillotti Ma, Mft 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 Theresa Gillotti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
15 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

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 20

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

PHILIP THOMAS
Marriage & Family Therapist
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Contra Costa County (925) 521-5124
MRS. KENNISHA ALONDA JOHNSON LMFT
Marriage & Family Therapist
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Contra Costa County (925) 521-5150
BEVERLY HANSON M.A.
Marriage & Family Therapist
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Contra Costa County (925) 321-4294
EMILY SALAVERIA LCSW
Social Worker (Clinical)
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Contra Costa County (925) 646-5480
MARIE RUTH CHAMPLIN D.O.
Psychiatry & Neurology (Psychiatry)
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Contra Costa County (925) 646-5480
AILEEN C. DWIGHT LCSW
Social Worker (Clinical)
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Contra Costa County (925) 646-5480
DAISY KONG-MEI LAM
Social Worker (Clinical)
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Contra Costa County (925) 521-5150
DR. NAOMI NATALIE TERAO MD
Preventive Medicine (Addiction Medicine)
1420 WILLOW PASS RD STE 200
CONCORD, CA 94520
Contra Costa County (925) 646-5480

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 Theresa Gillotti's NPI number?

The NPI number for Theresa Gillotti is 1508047648. It was assigned to this individual provider in the NPPES registry on November 16, 2007.

Where is Theresa Gillotti located?

Theresa Gillotti practices at 1420 Willow Pass Rd Ste 200, Concord, CA 94520. The listed phone number is (925) 646-5813.

What is Theresa Gillotti's specialty?

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

Is Theresa Gillotti enrolled in Medicare?

Yes. Theresa Gillotti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Gillotti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Gillotti reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Theresa Gillotti'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 Theresa Gillotti was last updated on December 30, 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.