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FELICIA MATTO-SHEPARD MFT
NPI 1679626980
Marriage & Family Therapist in Petaluma, CA

Active since January 19, 2007Opted out of Medicare · through Jan 1, 2028
1 BODEGA AVE STE 3, PETALUMA, CA 94952(707) 765-2518 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Felicia Matto-shepard Mft NPPES

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

FELICIA MATTO-SHEPARD MFT (NPI 1679626980) is an individual marriage & family therapist in Petaluma, California, licensed in California (MFC31225) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1679626980
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameFELICIA MATTO-SHEPARDCredential: MFT
Location Address1 BODEGA AVE STE 3Petaluma, CA 94952-2672
Mailing Address1 Bodega Ave Ste 3Petaluma, CA 94952-2672 · (707) 765-2518
Phone(707) 765-2518
Sole ProprietorYes
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679626980 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 · MFC31225
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.
1 BODEGA AVE STE 3, Petaluma, CA 94952
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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

Felicia Matto-shepard 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 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

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 Felicia Matto-shepard's NPI number?

The NPI number for Felicia Matto-shepard is 1679626980. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Felicia Matto-shepard located?

Felicia Matto-shepard practices at 1 Bodega Ave Ste 3, Petaluma, CA 94952. The listed phone number is (707) 765-2518.

What is Felicia Matto-shepard's specialty?

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

Is Felicia Matto-shepard enrolled in Medicare?

No. Felicia Matto-shepard 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 Felicia Matto-shepard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.