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MR. CHARLES LEONARD GUSTAFSON MFT
NPI 1689717472
Marriage & Family Therapist in Covina, CA

Active since February 14, 2007PECOS Enrolled
599 S BARRANCA ST, #224, COVINA, CA 91723(626) 966-2662 Get Directions Write a Review

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

About Mr. Charles Leonard Gustafson Mft NPPES

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

MR. CHARLES LEONARD GUSTAFSON MFT (NPI 1689717472) is an individual marriage & family therapist in Covina, California, licensed in California (5983) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689717472
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. CHARLES LEONARD GUSTAFSONCredential: MFT
Location Address599 S BARRANCA ST, #224Covina, CA 91723
Mailing Address599 S Barranca St, #224Covina, CA 91723 · (626) 966-2662
Phone(626) 966-2662
Sole ProprietorNo
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689717472 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 · 5983
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.
599 S BARRANCA ST, Covina, CA 91723
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Charles Leonard Gustafson Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Charles Gustafson's NPI number?

The NPI number for Charles Gustafson is 1689717472. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Charles Gustafson located?

Charles Gustafson practices at 599 S Barranca St #224, Covina, CA 91723. The listed phone number is (626) 966-2662.

What is Charles Gustafson's specialty?

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

Is Charles Gustafson enrolled in Medicare?

Yes. Charles Gustafson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Gustafson 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.