MATT DALSING LMFT
NPI 1720415300
Marriage & Family Therapist in Petaluma, CA

Active since September 27, 2013PECOS EnrolledAccepts Medicare Assignment
365 KUCK LN, PETALUMA, CA 94952(707) 795-6954 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Matt Dalsing Lmft NPPES

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

MATT DALSING LMFT (NPI 1720415300) is an individual marriage & family therapist in Petaluma, California, licensed in California (MFC50220) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1720415300
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMATT DALSINGCredential: LMFT
Location Address365 KUCK LNPetaluma, CA 94952-9606
Mailing Address365 Kuck LnPetaluma, CA 94952-9606 · (707) 795-6954
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 27, 2013
Last NPPES UpdateJuly 11, 2014
✔ NPI 1720415300 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 · MFC50220
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.
365 KUCK LN, Petaluma, CA 94952

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

Matt Dalsing Lmft 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 ID5092168013
PECOS Enrollment IDI20240125004388
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 Matt Dalsing reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychologist
1160 N DUTTON AVE, SUITE 230
Santa Rosa, CA 95401
  • Reassigned Medicare billing, California enrollment
  • 33 clinicians in this Medicare group

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.

Counselor
365 KUCK LN
PETALUMA, CA 94952
Technician, Health Information
365 KUCK LN
PETALUMA, CA 94952
Marriage & Family Therapist
365 KUCK LN
PETALUMA, CA 94952
Technician, Health Information
365 KUCK LN
PETALUMA, CA 94952
Counselor
365 KUCK LN
PETALUMA, CA 94952
Counselor
365 KUCK LN
PETALUMA, CA 94952
Counselor
365 KUCK LN
PETALUMA, CA 94952
Psychologist
365 KUCK LN
PETALUMA, CA 94952

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 Matt Dalsing's NPI number?

The NPI number for Matt Dalsing is 1720415300. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Where is Matt Dalsing located?

Matt Dalsing practices at 365 Kuck Ln, Petaluma, CA 94952. The listed phone number is (707) 795-6954.

What is Matt Dalsing's specialty?

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

Is Matt Dalsing enrolled in Medicare?

Yes. Matt Dalsing 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 Matt Dalsing's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matt Dalsing reassigns Medicare benefits to Psych Strategies Inc A Psychological Corp (Santa Rosa, 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 Matt Dalsing'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 Matt Dalsing was last updated on July 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.