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SUSAN K POMMERVILLE MA, MFT
NPI 1689056798
Marriage & Family Therapist in Los Angeles, CA

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment
470 E 3RD ST STE C, LOS ANGELES, CA 90013(213) 620-5712 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2022, Apr 20, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Susan K Pommerville Ma, Mft NPPES

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

SUSAN K POMMERVILLE MA, MFT (NPI 1689056798) is an individual marriage & family therapist in Los Angeles, California, licensed in California (LMFT122862) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1689056798
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameSUSAN K POMMERVILLECredential: MA, MFT
Location Address470 E 3RD ST STE CLos Angeles, CA 90013-1630
Mailing Address815 W Lancaster Blvd Ste 115Lancaster, CA 93534-2303 · (661) 903-8822
Phone(213) 620-5712
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 25, 2015
Last NPPES UpdateFebruary 7, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
✔ NPI 1689056798 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 · LMFT122862
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.
470 E 3RD ST STE C, Los Angeles, CA 90013
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11529 E Palmdale Blvd Ste 210Palmdale, CA 93550-2029 · Phone (661) 272-9996
Location 244447 10th St WLancaster, CA 93534-3324 · Phone (661) 726-2630 ext. 4133
Location 3815 W Lancaster Blvd Ste 115Lancaster, CA 93534-2303 · Phone (661) 903-8822

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

Susan K Pommerville Ma, Mft 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 ID5698204998
PECOS Enrollment IDI20250131001595
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 Susan Pommerville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healing Solutions Family Therapy Center Inc.
45 mi
Mental Health (Including Community Mental Health Center)
815 W LANCASTER BLVD STE 115
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Real Road Inc
  • 26 clinicians in this Medicare group
NPI 1134688674 (661) 903-8822

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

Other Providers at the Same Location NPPES 20

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

SUSANA ESPARZA THORNTON
Case Manager/Care Coordinator
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
MARIANA RUIZ
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
SELINA PRINCE
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
ILSE HERNANDEZ
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
BRIANNA TAQIKANU
Licensed Vocational Nurse
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
STEPHANIE VARGAS
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
GLADIS MARGARITA ROMERO
Social Worker (Clinical)
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712
JENNIFER SAEEDIAN
Student in an Organized Health Care Education/Training Program
470 E 3RD ST STE C
LOS ANGELES, CA 90013
Los Angeles County (213) 620-5712

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 Susan Pommerville's NPI number?

The NPI number for Susan Pommerville is 1689056798. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Susan Pommerville located?

Susan Pommerville practices at 470 E 3rd St Ste C, Los Angeles, CA 90013. The listed phone number is (213) 620-5712.

What is Susan Pommerville's specialty?

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

Is Susan Pommerville enrolled in Medicare?

Yes. Susan Pommerville 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 Susan Pommerville's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Pommerville reassigns Medicare benefits to Healing Solutions Family Therapy Center Inc. (Lancaster, CA). 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 Susan Pommerville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Pommerville was last updated on February 7, 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.