MR. BERT WAYNE SHECKLER-SMITH MFT
NPI 1700058708
Marriage & Family Therapist in Petaluma, CA

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment
47 6TH ST STE 205, PETALUMA, CA 94952(707) 363-7281 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Bert Wayne Sheckler-smith Mft NPPES

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

MR. BERT WAYNE SHECKLER-SMITH MFT (NPI 1700058708) is an individual marriage & family therapist in Petaluma, California, licensed in California (MFC 28723) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1700058708
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. BERT WAYNE SHECKLER-SMITHCredential: MFT
Location Address47 6TH ST STE 205Petaluma, CA 94952-3092
Mailing Address47 6th St Ste 205Petaluma, CA 94952-3092 · (707) 363-7281
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateMarch 31, 2008
NPI 1700058708 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 · MFC 28723
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.

47 6TH ST STE 205, Petaluma, CA 94952

Other Names 1

Former Name (1)Mr. Bert Wayne Sheckler Mft

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Bert Wayne Sheckler-smith 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 ID8921451584
PECOS Enrollment IDI20240130003152
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

The NPI number assigned to this healthcare provider is 1700058708, enumerated as an "individual" on March 31, 2008.

The provider is located at 47 6TH ST STE 205 PETALUMA, CA 94952 and the phone number is (707) 363-7281.

Marriage & Family Therapist with taxonomy code 106H00000X.

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.