MICHAEL DAVID HENRY LMFT - NPI 1790985232 - Marriage & Family Therapist in Santa Rosa, CA

Q: What is Michael Henry's NPI number?

The NPI number for Michael Henry is 1790985232. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Q: What is Michael Henry's specialty?

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

Q: Is Michael Henry enrolled in Medicare?

No. Michael Henry 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.

Q: When was this NPI record last updated?

The NPPES record for Michael Henry was last updated on April 30, 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.

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About Michael David Henry Lmft NPPES

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

MICHAEL DAVID HENRY LMFT (NPI 1790985232) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (94675) and active in the NPI registry since July 2007. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1790985232

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMICHAEL DAVID HENRYCredential: LMFT

Location Address2460 W 3RD ST STE 230Santa Rosa, CA 95401-6411

Mailing Address2460 W 3rd St Ste 230Santa Rosa, CA 95401-6411 · (707) 583-9773

Phone(707) 583-9773

Sole ProprietorYes

Enumeration DateJuly 23, 2007

Last NPPES UpdateApril 30, 20192 updates tracked since enumeration

✔ NPI 1790985232 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 · 94675

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.

2460 W 3RD ST STE 230, Santa Rosa, CA 95401

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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

Michael David Henry 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 5

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

ERICA LINDSTROM-DAKE

Marriage & Family Therapist