DR. LAWRENCE PELTZ
NPI 1831581115
Marriage & Family Therapist in Santa Rosa, CA

Active since February 24, 2015Opted out of Medicare · through Jul 25, 2028
1212 COLLEGE AVE, SANTA ROSA, CA 95404(707) 545-2728(630) 839-6371 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. Lawrence Peltz NPPES

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

DR. LAWRENCE PELTZ (NPI 1831581115) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (LMFT12862) and active in the NPI registry since February 2015. He has opted out of Medicare through July 25, 2028.

NPPES Registry Identity

NPI1831581115
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDR. LAWRENCE PELTZ
Location Address1212 COLLEGE AVESanta Rosa, CA 95404-3976
Mailing Address1212 College AveSanta Rosa, CA 95404-3976 · (707) 545-2728 · Fax (630) 839-6371
Fax(630) 839-6371
Sole ProprietorYes
Enumeration DateFebruary 24, 2015
NPI 1831581115 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 · LMFT12862
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.
1212 COLLEGE AVE, Santa Rosa, CA 95404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Lawrence Peltz 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 July 25, 2024 through July 25, 2028.

Opt-Out Effective DateJuly 25, 2024
Opt-Out In Effect ThroughJuly 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

Marriage & Family Therapist
1212 COLLEGE AVE
SANTA ROSA, CA 95404
Marriage & Family Therapist
1212 COLLEGE AVE
SANTA ROSA, CA 95404
Psychologist (Clinical)
1212 COLLEGE AVE, SUITE A
SANTA ROSA, CA 95404
Speech-Language Pathologist
1212 COLLEGE AVE, SUITE A
SANTA ROSA, CA 95404
Speech-Language Pathologist
1212 COLLEGE AVE, SUITE A
SANTA ROSA, CA 95404
Speech-Language Pathologist
1212 COLLEGE AVE, SUITE A
SANTA ROSA, CA 95404

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 Lawrence Peltz's NPI number?

The NPI number for Lawrence Peltz is 1831581115. It was assigned to this individual provider in the NPPES registry on February 24, 2015.

Where is Lawrence Peltz located?

Lawrence Peltz practices at 1212 College Ave, Santa Rosa, CA 95404. The listed phone number is (707) 545-2728.

What is Lawrence Peltz's specialty?

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

Is Lawrence Peltz enrolled in Medicare?

No. Lawrence Peltz has opted out of Medicare through July 25, 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 Lawrence Peltz was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.