LOURDES AMALIA VARGAS-BOGARDUS LMFT
NPI 1750468104
Counselor - Mental Health in San Rafael, CA

Active since November 01, 2006Opted out of Medicare · through Jan 18, 2028
1368 LINCOLN AVE SUITE 212, SAN RAFAEL, CA 94901(415) 505-5523 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lourdes Amalia Vargas-bogardus Lmft NPPES

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

LOURDES AMALIA VARGAS-BOGARDUS LMFT (NPI 1750468104) is an individual mental health provider in San Rafael, California, licensed in California (LMFT36776) and active in the NPI registry since November 2006. She has opted out of Medicare through January 18, 2028.

NPPES Registry Identity

NPI1750468104
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLOURDES AMALIA VARGAS-BOGARDUSCredential: LMFT
Location Address1368 LINCOLN AVE SUITE 212San Rafael, CA 94901
Mailing AddressPo Box 557Navato, CA 94948 · (415) 505-5523
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 14, 2024
NPI 1750468104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in CA · LMFT36776 Licensed in CA · MFC36776
1368 LINCOLN AVE SUITE 212, San Rafael, CA 94901

Other Names 1

Former Name (1)Lourdes Amalia Vargas

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Lourdes Amalia Vargas-bogardus Lmft 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 January 18, 2024 through January 18, 2028.

Opt-Out Effective DateJanuary 18, 2024
Opt-Out In Effect ThroughJanuary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Lourdes Vargas-bogardus's NPI number?

The NPI number for Lourdes Vargas-bogardus is 1750468104. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Lourdes Amalia Vargas.

Where is Lourdes Vargas-bogardus located?

Lourdes Vargas-bogardus practices at 1368 Lincoln Ave Suite 212, San Rafael, CA 94901. The listed phone number is (415) 505-5523.

What is Lourdes Vargas-bogardus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Lourdes Vargas-bogardus enrolled in Medicare?

No. Lourdes Vargas-bogardus has opted out of Medicare through January 18, 2028. 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 Lourdes Vargas-bogardus was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.