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HEATHER ELIZABETH PEDERSON LMFT
NPI 1609390160
Marriage & Family Therapist in San Diego, CA

Active since July 26, 2017Opted out of Medicare · through Jan 9, 2028
3356 2ND AVE STE E, SAN DIEGO, CA 92103(858) 522-0179 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2026, Jul 21, 2022, Jul 26, 2017 (3 updates tracked since 2017).

About Heather Elizabeth Pederson Lmft NPPES

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

HEATHER ELIZABETH PEDERSON LMFT (NPI 1609390160) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since July 2017. She has opted out of Medicare through January 9, 2028 and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1609390160
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHEATHER ELIZABETH PEDERSONCredential: LMFT
Location Address3356 2ND AVE STE ESan Diego, CA 92103-5636
Mailing Address3356 2nd Ave Ste ESan Diego, CA 92103-5636 · (858) 522-0179
Phone(858) 522-0179
Sole ProprietorNo
Enumeration DateJuly 26, 2017
Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1609390160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
3356 2ND AVE STE E, San Diego, CA 92103
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Secondary Practice Location 1

Location 111665 Avena Pl Ste 206San Diego, CA 92128-2428 · Phone (858) 522-0179

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Heather Elizabeth Pederson Lmft 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 9, 2024 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2024
Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

PEDERSON MARRIAGE AND FAMILY THERAPY INC
Marriage & Family Therapist
3356 2ND AVE STE E
SAN DIEGO, CA 92103
San Diego County (858) 522-0170
ARON PEDERSON
Marriage & Family Therapist
3356 2ND AVE STE E
SAN DIEGO, CA 92103
San Diego County (858) 522-0170

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 Heather Pederson's NPI number?

The NPI number for Heather Pederson is 1609390160. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Where is Heather Pederson located?

Heather Pederson practices at 3356 2nd Ave Ste E, San Diego, CA 92103. The listed phone number is (858) 522-0179.

What is Heather Pederson's specialty?

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

Is Heather Pederson enrolled in Medicare?

No. Heather Pederson has opted out of Medicare through January 9, 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 Heather Pederson was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.