VERNON EVERETT PROCTOR LMFT
NPI 1609192038
Marriage & Family Therapist in Elk Grove, CA

Active since April 09, 2010PECOS EnrolledAccepts Medicare Assignment
9280 W STOCKTON BLVD, ELK GROVE, CA 95758(916) 977-0949 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vernon Everett Proctor Lmft NPPES

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

VERNON EVERETT PROCTOR LMFT (NPI 1609192038) is an individual marriage & family therapist in Elk Grove, California, licensed in California (129847) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of National University Of Arts And Sciences, Medical Department (2016).

NPPES Registry Identity

NPI1609192038
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameVERNON EVERETT PROCTORCredential: LMFT
Location Address9280 W STOCKTON BLVDElk Grove, CA 95758-8073
Mailing Address9280 W Stockton Blvd Ste 230Elk Grove, CA 95758-8078 · (855) 427-2778 · Fax (916) 691-9461
Sole ProprietorNo
Medical School CMSNational University Of Arts And Sciences, Medical DepartmentGraduated 2016
Enumeration DateApril 9, 2010
Last NPPES UpdateJuly 1, 2024
NPPES CertifiedAugust 8, 2022
✔ NPI 1609192038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 129847
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 129847 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
9280 W STOCKTON BLVD, Elk Grove, CA 95758

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

Vernon Everett Proctor 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 ID7416307566
PECOS Enrollment IDI20240102001900
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 Reassignments

2

Medicare enrollment records show Vernon Proctor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
9290 W STOCKTON BLVD, SUITE 109
Elk Grove, CA 95758
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mark David Levine MD Professional Corporation
  • 329 clinicians in this Medicare group
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group

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 14

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

Physical Therapist
9280 W STOCKTON BLVD, SUITE116
ELK GROVE, CA 95758
Physical Therapy Assistant
9280 W STOCKTON BLVD, SUITE 116
ELK GROVE, CA 95758
Physical Therapist
9280 W STOCKTON BLVD
ELK GROVE, CA 95758
Physical Therapist (Cardiopulmonary)
9280 W STOCKTON BLVD, #116
ELK GROVE, CA 95758
Physical Therapist
9280 W STOCKTON BLVD, SUITE 116
ELK GROVE, CA 95758
Physical Therapist
9280 W STOCKTON BLVD
ELK GROVE, CA 95758
Physical Therapist
9280 W STOCKTON BLVD, SUITE 116
ELK GROVE, CA 95758
Physical Therapist
9280 W STOCKTON BLVD, #116
ELK GROVE, CA 95758

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 Vernon Proctor's NPI number?

The NPI number for Vernon Proctor is 1609192038. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Vernon Proctor located?

Vernon Proctor practices at 9280 W Stockton Blvd, Elk Grove, CA 95758. The listed phone number is (916) 977-0949.

What is Vernon Proctor's specialty?

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

Is Vernon Proctor enrolled in Medicare?

Yes. Vernon Proctor 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 organizations bill Medicare for Vernon Proctor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vernon Proctor reassigns Medicare benefits to 2 organizations: Mark David Levine, Elk Grove, Professional Corportation (Elk Grove, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Vernon Proctor'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 Vernon Proctor was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.