THERESA MCCORMICK LMFT, LEP
NPI 1700309473
Marriage & Family Therapist in Santa Rosa, CA
About Theresa Mccormick Lmft, Lep NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA MCCORMICK LMFT, LEP (NPI 1700309473) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (147339) and active in the NPI registry since July 2017. She has opted out of Medicare through December 11, 2027 and maintains a secondary practice location in Santa Rosa.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Theresa Mccormick Lmft, Lep 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 December 11, 2025 through December 11, 2027.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95401
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 Theresa Mccormick's NPI number?
The NPI number for Theresa Mccormick is 1700309473. It was assigned to this individual provider in the NPPES registry on July 25, 2017.
Where is Theresa Mccormick located?
Theresa Mccormick practices at 350 College Ave Ste 101, Santa Rosa, CA 95401. The listed phone number is (925) 408-8867.
What is Theresa Mccormick's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Theresa Mccormick enrolled in Medicare?
No. Theresa Mccormick has opted out of Medicare through December 11, 2027. 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 Theresa Mccormick was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Theresa Mccormick, LMFT, LEP · NPI 1700309473
Marriage & Family Therapist provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since July 25, 2017.
## Identity
- **NPI:** 1700309473 (Entity type: Individual)
- **Enumerated:** July 25, 2017
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 147339 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 350 COLLEGE AVE STE 101, Santa Rosa, CA 95401-5125
- **Phone:** (925) 408-8867
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 11, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** March 7, 2025
- **Other identifiers:** Medicaid 1700309473 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1700309473) · Data from the CMS NPPES public registry.