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THEA A. PRIVETTE MA, MFTI
NPI 1932629656
Marriage & Family Therapist in Santa Rosa, CA

Active since June 23, 2017Opted out of Medicare · through Jan 1, 2028
3436 MENDOCINO AVE STE A, SANTA ROSA, CA 95403(707) 495-0367 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2021, Jun 23, 2020, Jul 26, 2017 and 1 more (4 updates tracked since 2017).

About Thea A. Privette Ma, Mfti NPPES

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

THEA A. PRIVETTE MA, MFTI (NPI 1932629656) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (100934) and active in the NPI registry since June 2017. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in San Leandro.

NPPES Registry Identity

NPI1932629656
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTHEA A. PRIVETTECredential: MA, MFTI
Location Address3436 MENDOCINO AVE STE ASanta Rosa, CA 95403-2180
Mailing Address2777 Yulupa Ave Ste 298Santa Rosa, CA 95405-8584 · (707) 495-0367
Phone(707) 495-0367
Sole ProprietorNo
Enumeration DateJune 23, 2017
Last NPPES UpdateJune 8, 20214 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1932629656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 100934
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 100934 (CA)
3436 MENDOCINO AVE STE A, Santa Rosa, CA 95403
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Secondary Practice Location 1

Location 12275 Arlington DrSan Leandro, CA 94578-1132 · Phone (510) 317-1444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Thea A. Privette Ma, Mfti 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

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 Thea Privette's NPI number?

The NPI number for Thea Privette is 1932629656. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Thea Privette located?

Thea Privette practices at 3436 Mendocino Ave Ste A, Santa Rosa, CA 95403. The listed phone number is (707) 495-0367.

What is Thea Privette's specialty?

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

Is Thea Privette enrolled in Medicare?

No. Thea Privette 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.

What insurance does Thea Privette accept?

Health plans from Providence Health Plan list Thea Privette as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thea Privette was last updated on June 8, 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.