SAMUEL ZACHARY LANGE LMFT
NPI 1730646894
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Samuel Lange's NPI number?

The NPI number for Samuel Lange is 1730646894. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Q: What is Samuel Lange's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Lange was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 25, 2019PECOS Enrolled

1144 SONOMA AVE STE 104, SANTA ROSA, CA 95405(707) 293-6486 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samuel Zachary Lange Lmft NPPES

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

SAMUEL ZACHARY LANGE LMFT (NPI 1730646894) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (86694) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730646894

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameSAMUEL ZACHARY LANGECredential: LMFT

Location Address1144 SONOMA AVE STE 104Santa Rosa, CA 95405-4812

Mailing Address1144 Sonoma Ave Ste 104Santa Rosa, CA 95405-4812 · (707) 293-6486

Phone(707) 293-6486

Sole ProprietorYes

Enumeration DateFebruary 25, 2019

✔ NPI 1730646894 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 · 86694

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.

1144 SONOMA AVE STE 104, Santa Rosa, CA 95405

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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)

Samuel Zachary Lange Lmft 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.

Other Providers at the Same Location NPPES 7

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

DR. JENNIFER E. SCHOOLEY PSYD

Psychologist (Clinical)