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DR. MARY ANN KACERGUIS MFT
NPI 1619028990
Marriage & Family Therapist in Antioch, CA

Active since January 15, 2007Opted out of Medicare · through Jan 8, 2028
2225 BUCHANAN RD, ANTIOCH, CA 94509(925) 681-8098 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Ann Kacerguis Mft NPPES

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

DR. MARY ANN KACERGUIS MFT (NPI 1619028990) is an individual marriage & family therapist in Antioch, California, licensed in California (MFC 29097) and active in the NPI registry since January 2007. She has opted out of Medicare through January 8, 2028 and maintains a secondary practice location in Oakland.

NPPES Registry Identity

NPI1619028990
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDR. MARY ANN KACERGUISCredential: MFT
Location Address2225 BUCHANAN RDAntioch, CA 94509-4209
Mailing Address4833 Boxer BlvdConcord, CA 94521-3602 · (925) 685-5478
Phone(925) 681-8098
Sole ProprietorYes
Enumeration DateJanuary 15, 2007
Last NPPES UpdateApril 11, 2018
✔ NPI 1619028990 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 29097
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.
2225 BUCHANAN RD, Antioch, CA 94509
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Secondary Practice Location 1

Location 12579 San Pablo AveOakland, CA 94612-1159 · Phone (510) 466-7161

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary Ann Kacerguis 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 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

DR. GARRET BRUCE LOUIE O.D.
Optometrist
2225 BUCHANAN RD, SUITE B
ANTIOCH, CA 94509
Contra Costa County (925) 757-6707
MARLENE MARIE STEPHENS MFT
Marriage & Family Therapist
2225 BUCHANAN RD, SUITE H
ANTIOCH, CA 94509
Contra Costa County (928) 775-9183
JON COLLADAY MFCC
Psychologist
2225 BUCHANAN RD, SUITE H
ANTIOCH, CA 94509
Contra Costa County (925) 753-1986
DR. AMITA KIRAN SUVARNA DDS
Dentist (General Practice)
2225 BUCHANAN RD, SUITE E
ANTIOCH, CA 94509
Contra Costa County (925) 757-6117
HONG XIE, DDS, INC.
Dentist (General Practice)
2225 BUCHANAN RD, G
ANTIOCH, CA 94509
Contra Costa County (510) 637-8289
BECKY KIRKBRIDE MFCC
Marriage & Family Therapist
2225 BUCHANAN RD, SUITE H
ANTIOCH, CA 94509
Contra Costa County (925) 753-1986
ARAMESH THERAPY GROUP
Social Worker (Clinical)
2225 BUCHANAN RD
ANTIOCH, CA 94509
Contra Costa County (925) 596-1791
JOHN-PATRICK KIRBY MFCC
Psychologist
2225 BUCHANAN RD, SUITE H
ANTIOCH, CA 94509
Contra Costa County (925) 753-1986

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 Mary Ann Kacerguis's NPI number?

The NPI number for Mary Ann Kacerguis is 1619028990. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Mary Ann Kacerguis located?

Mary Ann Kacerguis practices at 2225 Buchanan Rd, Antioch, CA 94509. The listed phone number is (925) 681-8098.

What is Mary Ann Kacerguis's specialty?

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

Is Mary Ann Kacerguis enrolled in Medicare?

No. Mary Ann Kacerguis has opted out of Medicare through January 8, 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 Mary Ann Kacerguis was last updated on April 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.