ALEX VAN FLEET - NPI 1932670684 - Marriage & Family Therapist in Pasadena, CA

Q: What is Alex Van Fleet's NPI number?

The NPI number for Alex Van Fleet is 1932670684. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Q: What is Alex Van Fleet's specialty?

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

Q: Is Alex Van Fleet enrolled in Medicare?

No. Alex Van Fleet 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 Alex Van Fleet was last updated on December 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Alex Van Fleet NPPES

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

ALEX VAN FLEET (NPI 1932670684) is an individual marriage & family therapist in Pasadena, California, licensed in California (89113) and active in the NPI registry since December 2018. He has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Monrovia.

NPPES Registry Identity

NPI1932670684

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameALEX VAN FLEET

Location Address3030 E COLORADO BLVDPasadena, CA 91107-3840

Mailing Address3030 E Colorado BlvdPasadena, CA 91107-3840 · (626) 365-1211

Phone(626) 365-1211

Sole ProprietorNo

Enumeration DateDecember 6, 2018

✔ NPI 1932670684 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 · 89113

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.

3030 E COLORADO BLVD, Pasadena, CA 91107

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Secondary Practice Location 1

Location 1140 E Colorado Blvd Ste DMonrovia, CA 91016-5145 · Phone (626) 272-4908

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alex Van Fleet 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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

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

TIFFANY ELLEN MANZINI OTR/L

Occupational Therapist