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MARK LEDERER
NPI 1942082680
Marriage & Family Therapist in Berkeley, CA

Active since October 17, 2023Opted out of Medicare · through Jan 30, 2028
2711 ALCATRAZ AVE STE 5, BERKELEY, CA 94705(510) 387-6717 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Lederer NPPES

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

MARK LEDERER (NPI 1942082680) is an individual marriage & family therapist in Berkeley, California, licensed in California (101431) and active in the NPI registry since October 2023. He has opted out of Medicare through January 30, 2028.

NPPES Registry Identity

NPI1942082680
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMARK LEDERER
Location Address2711 ALCATRAZ AVE STE 5Berkeley, CA 94705-2726
Mailing Address2711 Alcatraz Ave Ste 5Berkeley, CA 94705-2726
Phone(510) 387-6717
Sole ProprietorYes
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1942082680 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 · 101431
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.
2711 ALCATRAZ AVE STE 5, Berkeley, CA 94705
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mark Lederer 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 30, 2024 through January 30, 2028.

Opt-Out Effective DateJanuary 30, 2024
Opt-Out In Effect ThroughJanuary 30, 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 2

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

NANCY JESSUP LMFT
Marriage & Family Therapist
2711 ALCATRAZ AVE STE 5
BERKELEY, CA 94705
Alameda County (510) 496-6044
TAMARA BRANSBURG
Social Worker (Clinical)
2711 ALCATRAZ AVE STE 5
BERKELEY, CA 94705
Alameda County (510) 214-3518

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 Mark Lederer's NPI number?

The NPI number for Mark Lederer is 1942082680. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Mark Lederer located?

Mark Lederer practices at 2711 Alcatraz Ave Ste 5, Berkeley, CA 94705. The listed phone number is (510) 387-6717.

What is Mark Lederer's specialty?

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

Is Mark Lederer enrolled in Medicare?

No. Mark Lederer has opted out of Medicare through January 30, 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 Mark Lederer was last updated on October 17, 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.