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MR. BARRY WARREN BASTIAN MA, MS
NPI 1649035460
Marriage & Family Therapist in Santa Rosa, CA

Active since February 20, 2024Opted out of Medicare · through Jan 1, 2028
390 CAHILL LN, SANTA ROSA, CA 95401(415) 707-7838 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Barry Warren Bastian Ma, Ms NPPES

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

MR. BARRY WARREN BASTIAN MA, MS (NPI 1649035460) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (LMFT43040) and active in the NPI registry since February 2024. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1649035460
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. BARRY WARREN BASTIANCredential: MA, MS
Location Address390 CAHILL LNSanta Rosa, CA 95401-5554
Mailing Address1275 4th St # 5019Santa Rosa, CA 95404-4057 · (415) 707-7838
Phone(415) 707-7838
Sole ProprietorYes
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1649035460 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 · LMFT43040
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.
390 CAHILL LN, Santa Rosa, CA 95401
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mr. Barry Warren Bastian Ma, Ms 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 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.

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 Barry Bastian's NPI number?

The NPI number for Barry Bastian is 1649035460. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Barry Bastian located?

Barry Bastian practices at 390 Cahill Ln, Santa Rosa, CA 95401. The listed phone number is (415) 707-7838.

What is Barry Bastian's specialty?

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

Is Barry Bastian enrolled in Medicare?

No. Barry Bastian has opted out of Medicare through January 1, 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 Barry Bastian was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.