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ROSE HARTZELL-CUSHANICK PHD, EDS, LMFT
NPI 1770952533
Marriage & Family Therapist in San Diego, CA

Active since September 22, 2015Opted out of Medicare · through Jan 1, 2028
5555 RESERVOIR DR STE 300, SAN DIEGO, CA 92120(619) 265-8865(619) 265-7696 Get Directions Write a Review

NPPES record last updated: September 22, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rose Hartzell-cushanick Phd, Eds, Lmft NPPES

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

ROSE HARTZELL-CUSHANICK PHD, EDS, LMFT (NPI 1770952533) is an individual marriage & family therapist in San Diego, California, licensed in California (53079) and active in the NPI registry since September 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1770952533
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameROSE HARTZELL-CUSHANICKCredential: PHD, EDS, LMFT
Location Address5555 RESERVOIR DR STE 300San Diego, CA 92120-5194
Mailing Address5555 Reservoir Dr Ste 300San Diego, CA 92120-5194 · (619) 265-8865 · Fax (619) 265-7696
Phone(619) 265-8865
Fax(619) 265-7696
Sole ProprietorNo
Enumeration DateSeptember 22, 2015
✔ NPI 1770952533 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 · 53079
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.
5555 RESERVOIR DR STE 300, San Diego, CA 92120
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Rose Hartzell-cushanick Phd, Eds, 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DARCI DUBOSE DPT
Physical Therapist
5555 RESERVOIR DR STE 300
SAN DIEGO, CA 92120
San Diego County (858) 457-8419

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 Rose Hartzell-cushanick's NPI number?

The NPI number for Rose Hartzell-cushanick is 1770952533. It was assigned to this individual provider in the NPPES registry on September 22, 2015.

Where is Rose Hartzell-cushanick located?

Rose Hartzell-cushanick practices at 5555 Reservoir Dr Ste 300, San Diego, CA 92120. The listed phone number is (619) 265-8865.

What is Rose Hartzell-cushanick's specialty?

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

Is Rose Hartzell-cushanick enrolled in Medicare?

No. Rose Hartzell-cushanick has opted out of Medicare through January 1, 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 Rose Hartzell-cushanick was last updated on September 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.