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LYCA CARROLL SEDAKA M.S, LMFT, LEP, NCSP
NPI 1639548753
Marriage & Family Therapist in Pinole, CA

Active since September 18, 2015Opted out of Medicare · through Feb 15, 2028
3590 SAVAGE AVE, PINOLE, CA 94564(510) 717-5740 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2021, Nov 13, 2015 (2 updates tracked since 2015).

About Lyca Carroll Sedaka M.s, Lmft, Lep, Ncsp NPPES

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

LYCA CARROLL SEDAKA M.S, LMFT, LEP, NCSP (NPI 1639548753) is an individual marriage & family therapist in Pinole, California, licensed in California (LMFT101200) and active in the NPI registry since September 2015. She has opted out of Medicare through February 15, 2028 and maintains a secondary practice location in San Pablo.

NPPES Registry Identity

NPI1639548753
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLYCA CARROLL SEDAKACredential: M.S, LMFT, LEP, NCSP
Location Address3590 SAVAGE AVEPinole, CA 94564-1250
Mailing Address2101 Pear St Unit 358Pinole, CA 94564-6019 · (925) 725-9530
Phone(510) 717-5740
Sole ProprietorYes
Enumeration DateSeptember 18, 2015
Last NPPES UpdateOctober 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
✔ NPI 1639548753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT101200
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 ListedPsychologist · SchoolTaxonomy 103TS0200X · License LEP3632 (CA)
3590 SAVAGE AVE, Pinole, CA 94564
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Other Names 1

Former Name (1)Lyca Carroll O'loughlin M.s, Lmft, Lep, Ncsp

Secondary Practice Location 1

Location 12465 Dolan WaySan Pablo, CA 94806-1668 · Phone (510) 307-4630 ext. 26741 · Fax (510) 724-8829

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lyca Carroll Sedaka M.s, Lmft, Lep, Ncsp 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 February 15, 2024 through February 15, 2028.

Opt-Out Effective DateFebruary 15, 2024
Opt-Out In Effect ThroughFebruary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Lyca Sedaka's NPI number?

The NPI number for Lyca Sedaka is 1639548753. It was assigned to this individual provider in the NPPES registry on September 18, 2015. The provider is also known as Lyca Carroll O'loughlin M.S, Lmft, Lep, Ncsp.

Where is Lyca Sedaka located?

Lyca Sedaka practices at 3590 Savage Ave, Pinole, CA 94564. The listed phone number is (510) 717-5740.

What is Lyca Sedaka's specialty?

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

Is Lyca Sedaka enrolled in Medicare?

No. Lyca Sedaka has opted out of Medicare through February 15, 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 Lyca Sedaka was last updated on October 20, 2021. 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.