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MR. MYRON WALTERS MFT
NPI 1619283801
Marriage & Family Therapist in San Rafael, CA

Active since August 25, 2010Opted out of Medicare · through Jan 3, 2028
1368 LINCOLN AVE STE 212, SAN RAFAEL, CA 94901(415) 686-3445 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Myron Walters Mft NPPES

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

MR. MYRON WALTERS MFT (NPI 1619283801) is an individual marriage & family therapist in San Rafael, California, licensed in California (MFC48872) and active in the NPI registry since August 2010. He has opted out of Medicare through January 3, 2028.

NPPES Registry Identity

NPI1619283801
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. MYRON WALTERSCredential: MFT
Location Address1368 LINCOLN AVE STE 212San Rafael, CA 94901-2121
Mailing Address1368 Lincoln Ave Ste 212San Rafael, CA 94901-2121 · (415) 686-3445
Phone(415) 686-3445
Sole ProprietorYes
Enumeration DateAugust 25, 2010
Last NPPES UpdateAugust 5, 2022
NPPES CertifiedAugust 5, 2022
✔ NPI 1619283801 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 · MFC48872
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.
1368 LINCOLN AVE STE 212, San Rafael, CA 94901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Myron Walters 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 3, 2024 through January 3, 2028.

Opt-Out Effective DateJanuary 3, 2024
Opt-Out In Effect ThroughJanuary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

CAILIN GREENBURG AMFT
Marriage & Family Therapist
1368 LINCOLN AVE STE 212
SAN RAFAEL, CA 94901
Marin County (818) 425-9337
NERINA M. CECCHIN
Community/Behavioral Health
1368 LINCOLN AVE STE 212
SAN RAFAEL, CA 94901
Marin County (415) 300-7922

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 Myron Walters's NPI number?

The NPI number for Myron Walters is 1619283801. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Where is Myron Walters located?

Myron Walters practices at 1368 Lincoln Ave Ste 212, San Rafael, CA 94901. The listed phone number is (415) 686-3445.

What is Myron Walters's specialty?

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

Is Myron Walters enrolled in Medicare?

No. Myron Walters has opted out of Medicare through January 3, 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 Myron Walters was last updated on August 5, 2022. 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.