ELIZABETH HENIGAN MFT
NPI 1750051389
Marriage & Family Therapist in Santa Rosa, CA

Active since September 15, 2021PECOS EnrolledAccepts Medicare Assignment
2455 BENNETT VALLEY RD STE C200, SANTA ROSA, CA 95404(707) 484-3869 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth Henigan Mft NPPES

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

ELIZABETH HENIGAN MFT (NPI 1750051389) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (LMFT110006) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1750051389
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameELIZABETH HENIGANCredential: MFT
Location Address2455 BENNETT VALLEY RD STE C200Santa Rosa, CA 95404-5672
Mailing Address2455 Bennett Valley Rd Ste C200Santa Rosa, CA 95404-5672
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 15, 2021
NPPES CertifiedSeptember 12, 2021
✔ NPI 1750051389 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 · LMFT110006
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.
2455 BENNETT VALLEY RD STE C200, Santa Rosa, CA 95404

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

Elizabeth Henigan 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 ID1254874548
PECOS Enrollment IDI20240614001217
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 Elizabeth Henigan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

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 Elizabeth Henigan's NPI number?

The NPI number for Elizabeth Henigan is 1750051389. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Elizabeth Henigan located?

Elizabeth Henigan practices at 2455 Bennett Valley Rd Ste C200, Santa Rosa, CA 95404. The listed phone number is (707) 484-3869.

What is Elizabeth Henigan's specialty?

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

Is Elizabeth Henigan enrolled in Medicare?

Yes. Elizabeth Henigan 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 Elizabeth Henigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Henigan reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Elizabeth Henigan'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 Elizabeth Henigan was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.