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PETER RAY WONG LMFT#145324
NPI 1790238426
Marriage & Family Therapist in Rocklin, CA

Active since July 29, 2016Opted out of Medicare · through Apr 12, 2028
3724 ATHERTON RD STE 215, ROCKLIN, CA 95765(916) 243-0568 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2024, Jan 11, 2018, Aug 11, 2017 and 1 more (4 updates tracked since 2017).

About Peter Ray Wong Lmft#145324 NPPES

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

PETER RAY WONG LMFT#145324 (NPI 1790238426) is an individual marriage & family therapist in Rocklin, California, licensed in California (LMFT145324) and active in the NPI registry since July 2016. He has opted out of Medicare through April 12, 2028.

NPPES Registry Identity

NPI1790238426
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NamePETER RAY WONGCredential: LMFT#145324
Location Address3724 ATHERTON RD STE 215Rocklin, CA 95765-3717
Mailing Address3724 Atherton Rd Ste 215Rocklin, CA 95765-3717 · (916) 243-0568
Phone(916) 243-0568
Sole ProprietorYes
Enumeration DateJuly 29, 2016
Last NPPES UpdateJune 18, 20244 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1790238426 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 · LMFT145324
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.
3724 ATHERTON RD STE 215, Rocklin, CA 95765
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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

Peter Ray Wong Lmft#145324 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 April 12, 2024 through April 12, 2028.

Opt-Out Effective DateApril 12, 2024
Opt-Out In Effect ThroughApril 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Peter Wong's NPI number?

The NPI number for Peter Wong is 1790238426. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Where is Peter Wong located?

Peter Wong practices at 3724 Atherton Rd Ste 215, Rocklin, CA 95765. The listed phone number is (916) 243-0568.

What is Peter Wong's specialty?

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

Is Peter Wong enrolled in Medicare?

No. Peter Wong has opted out of Medicare through April 12, 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 Peter Wong was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.