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KRISTIN VERROULX
NPI 1639570914
Marriage & Family Therapist in Petaluma, CA

Active since September 05, 2014PECOS EnrolledAccepts Medicare Assignment
405 E D ST STE 108, PETALUMA, CA 94952(707) 540-5104 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristin Verroulx NPPES

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

KRISTIN VERROULX (NPI 1639570914) is an individual marriage & family therapist in Petaluma, California, licensed in California (90689) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639570914
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKRISTIN VERROULX
Location Address405 E D ST STE 108Petaluma, CA 94952-3173
Mailing Address3009 Hayman AveVallejo, CA 94591-7441 · (707) 540-5104
Phone(707) 540-5104
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 5, 2014
Last NPPES UpdateApril 4, 2016
✔ NPI 1639570914 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 · 90689
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
405 E D ST STE 108, Petaluma, CA 94952
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

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

Kristin Verroulx 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 ID3173916962
PECOS Enrollment IDI20220128002049
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 Reassignment

Medicare enrollment records show Kristin Verroulx reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eastern Maine Medical Center
2,788 mi
General Acute Care Hospital
489 STATE ST
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 788 clinicians in this Medicare group
NPI 1790789147 (207) 973-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
142 services28 patients
Exam of neurobehavioral status, each additional hour 96121
This procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.
75 services28 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
28 services28 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
26 services26 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

MS. BARBARA POLLACK BA, CMT
Contractor
405 E D ST STE 108
PETALUMA, CA 94952
Sonoma County (707) 778-7185

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 Kristin Verroulx's NPI number?

The NPI number for Kristin Verroulx is 1639570914. It was assigned to this individual provider in the NPPES registry on September 5, 2014.

Where is Kristin Verroulx located?

Kristin Verroulx practices at 405 E D St Ste 108, Petaluma, CA 94952. The listed phone number is (707) 540-5104.

What is Kristin Verroulx's specialty?

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

Is Kristin Verroulx enrolled in Medicare?

Yes. Kristin Verroulx 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 organization bills Medicare for Kristin Verroulx's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Verroulx reassigns Medicare benefits to Eastern Maine Medical Center (Bangor, ME). The 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 Kristin Verroulx's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Verroulx accept?

Health plans from Harvard Pilgrim Health Care list Kristin Verroulx as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristin Verroulx affiliated with any hospitals?

According to CMS data, Kristin Verroulx is affiliated with Northern Light Eastern Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Kristin Verroulx was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.