MRS. ILA BREEANN 'BREE' BODE LMFT
NPI 1801011176
Marriage & Family Therapist in Soquel, CA

Q: What is Ila Bode's NPI number?

The NPI number for Ila Bode is 1801011176. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Q: What is Ila Bode's specialty?

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

Q: Is Ila Bode enrolled in Medicare?

No. Ila Bode has opted out of Medicare through April 18, 2027. 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 Ila Bode was last updated on October 20, 2023. 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.

Active since April 13, 2007Opted out of Medicare · through Apr 18, 2027

5161 SOQUEL DR STE C, SOQUEL, CA 95073(831) 515-7078(833) 312-0098 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Ila Breeann 'bree' Bode Lmft NPPES

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

MRS. ILA BREEANN 'BREE' BODE LMFT (NPI 1801011176) is an individual marriage & family therapist in Soquel, California, licensed in California (47139) and active in the NPI registry since April 2007. She has opted out of Medicare through April 18, 2027.

NPPES Registry Identity

NPI1801011176

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. ILA BREEANN 'BREE' BODECredential: LMFT

Location Address5161 SOQUEL DR STE CSoquel, CA 95073-2560

Mailing Address5161 Soquel Dr Ste CSoquel, CA 95073-2560 · (831) 515-7078 · Fax (833) 312-0098

Phone(831) 515-7078

Fax(833) 312-0098

Sole ProprietorNo

Enumeration DateApril 13, 2007

Last NPPES UpdateOctober 20, 2023

NPPES CertifiedOctober 20, 2023

✔ NPI 1801011176 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 · 47139

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.

5161 SOQUEL DR STE C, Soquel, CA 95073

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Other Identifiers 1

OtherZZZ91892ZCA · Santa Cruz County Medicare Group Ptan#

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Ila Breeann 'bree' Bode 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 April 18, 2025 through April 18, 2027.

Opt-Out Effective DateApril 18, 2025

Opt-Out In Effect ThroughApril 18, 2027Opt-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.

MCKENZIE CABORN WHNP

Nurse Practitioner (Women's Health)