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MR. PETER K BURTIS LMFT
NPI 1609083609
Marriage & Family Therapist in Fort Bragg, CA

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment
347 CYPRESS ST STE A, FORT BRAGG, CA 95437(707) 962-3161(707) 937-1876 Get Directions Write a Review

NPPES record last updated: February 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2023, Nov 1, 2021, Oct 18, 2019 (3 updates tracked since 2019).

About Mr. Peter K Burtis Lmft NPPES

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

MR. PETER K BURTIS LMFT (NPI 1609083609) is an individual marriage & family therapist in Fort Bragg, California, licensed in California (LMFT39126) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1609083609
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. PETER K BURTISCredential: LMFT
Location Address347 CYPRESS ST STE AFort Bragg, CA 95437-5458
Mailing AddressPo Box 653Mendocino, CA 95460
Phone(707) 962-3161
Fax(707) 937-1876
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateMay 17, 2007
Last NPPES UpdateFebruary 5, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2023
✔ NPI 1609083609 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 · LMFT39126
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.
347 CYPRESS ST STE A, Fort Bragg, CA 95437
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Other Identifiers 1

Medicaid1609083609CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Peter K Burtis Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890148910
PECOS Enrollment IDI20240219000315
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 Peter Burtis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bitterroot Family Therapy Inc.
Same address
Mental Health
347 CYPRESS ST STE A
Fort Bragg, CA 95437
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1003401910 (707) 962-3161

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 2

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

BITTERROOT FAMILY THERAPY INC.
Counselor (Mental Health)
347 CYPRESS ST STE A
FORT BRAGG, CA 95437
Mendocino County (707) 962-3161
LISA LARIMER BURTIS LMFT
Marriage & Family Therapist
347 CYPRESS ST STE A
FORT BRAGG, CA 95437
Mendocino County (707) 972-2261

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 Peter Burtis's NPI number?

The NPI number for Peter Burtis is 1609083609. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Peter Burtis located?

Peter Burtis practices at 347 Cypress St Ste A, Fort Bragg, CA 95437. The listed phone number is (707) 962-3161.

What is Peter Burtis's specialty?

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

Is Peter Burtis enrolled in Medicare?

Yes. Peter Burtis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Peter Burtis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Burtis reassigns Medicare benefits to Bitterroot Family Therapy Inc. (Fort Bragg, 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 Peter Burtis'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 Peter Burtis was last updated on February 5, 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.