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LARYNDA LYNN PETERSON LMFT
NPI 1821679622
Marriage & Family Therapist in La Verne, CA

Active since April 14, 2021Opted out of Medicare · through Feb 26, 2028
2120 FOOTHILL BLVD STE 213, LA VERNE, CA 91750(909) 575-8184 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larynda Lynn Peterson Lmft NPPES

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

LARYNDA LYNN PETERSON LMFT (NPI 1821679622) is an individual marriage & family therapist in La Verne, California, licensed in California (115124) and active in the NPI registry since April 2021. She has opted out of Medicare through February 26, 2028.

NPPES Registry Identity

NPI1821679622
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLARYNDA LYNN PETERSONCredential: LMFT
Location Address2120 FOOTHILL BLVD STE 213La Verne, CA 91750-2950
Mailing Address3355 N White Ave # 253La Verne, CA 91750-6112 · (626) 253-8899
Phone(909) 575-8184
Sole ProprietorYes
Enumeration DateApril 14, 2021
NPPES CertifiedApril 14, 2021
✔ NPI 1821679622 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 · 115124
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.
2120 FOOTHILL BLVD STE 213, La Verne, CA 91750
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Other Names 1

Professional Name (2)Larynda Lynn Peterson Lmft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Larynda Lynn Peterson 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 February 26, 2024 through February 26, 2028.

Opt-Out Effective DateFebruary 26, 2024
Opt-Out In Effect ThroughFebruary 26, 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 Larynda Peterson's NPI number?

The NPI number for Larynda Peterson is 1821679622. It was assigned to this individual provider in the NPPES registry on April 14, 2021. The provider is also known as Larynda Lynn Peterson Lmft.

Where is Larynda Peterson located?

Larynda Peterson practices at 2120 Foothill Blvd Ste 213, La Verne, CA 91750. The listed phone number is (909) 575-8184.

What is Larynda Peterson's specialty?

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

Is Larynda Peterson enrolled in Medicare?

No. Larynda Peterson has opted out of Medicare through February 26, 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 Larynda Peterson was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.