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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Lange reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cyti Health PC
503 mi
Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
NPI 1679172290 (866) 478-3978

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 7

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

DR. JENNIFER LOTZ PSYD
Psychologist (Clinical)
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Sonoma County (707) 901-7900
MS. JUDITH SEELEY PELETZ MFT
Marriage & Family Therapist
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Sonoma County (707) 526-7720
MARISHA CHILCOTT MD INC
Family Medicine
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Sonoma County (707) 542-1933
JENNIFER BLUM PSYD LICENSED PSYCHOLOGIST PC
Psychologist (Clinical)
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Sonoma County (707) 331-4769
MS. PATRICIA A HARTNETT MFT
Marriage & Family Therapist
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Sonoma County (707) 367-4937
TRANSFORMATIONAL PSYCHOLOGY INC
Psychologist (Clinical)
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Sonoma County (707) 799-3825
FORREST SCOTT CHILCOTT JR. MD
Family Medicine
1144 SONOMA AVE STE 104
SANTA ROSA, CA 95405
Sonoma County (707) 542-1933

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 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.

Where is Samuel Lange located?

Samuel Lange practices at 1144 Sonoma Ave Ste 104, Santa Rosa, CA 95405. The listed phone number is (707) 293-6486.

What is Samuel Lange's specialty?

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

Is Samuel Lange enrolled in Medicare?

Yes. Samuel Lange is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Lange's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Lange reassigns Medicare benefits to Cyti Health PC (San Diego, 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 Samuel Lange'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 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.