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MR. ROGER DALE PETERS MH CLINICIAN II-MFT
NPI 1952441966
Marriage & Family Therapist in Modesto, CA

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
330 MCHENRY AVE, MODESTO, CA 95354(209) 577-3595(209) 577-4150 Get Directions Write a Review

NPPES record last updated: November 8, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Roger Dale Peters Mh Clinician Ii-mft NPPES

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

MR. ROGER DALE PETERS MH CLINICIAN II-MFT (NPI 1952441966) is an individual marriage & family therapist in Modesto, California, licensed in California (MFC51816) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1952441966
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. ROGER DALE PETERSCredential: MH CLINICIAN II-MFT
Location Address330 MCHENRY AVEModesto, CA 95354-0561
Mailing Address2184 Rothbury CourtTurlock, CA 95382-2980 · (209) 667-4098
Phone(209) 577-3595
Fax(209) 577-4150
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 7, 2007
Last NPPES UpdateNovember 8, 2012
✔ NPI 1952441966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC51816
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 42865 (CA)
330 MCHENRY AVE, Modesto, CA 95354
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Roger Dale Peters Mh Clinician Ii-mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466958111
PECOS Enrollment IDI20251001002325
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Roger Peters reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
57 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088
Total Life Ca, P.C.
292 mi
Cognitive & Behavioral
6080 CENTER DR FL 6
Los Angeles, CA 90045
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Total Life Ca PC
  • 47 clinicians in this Medicare group
NPI 1689389603 (800) 567-5433

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

STANISLAUS COUNTY
Community/Behavioral Health
330 MCHENRY AVE
MODESTO, CA 95354
Stanislaus County (209) 525-7423
MR. MARK FLEMING AOD COUNSELOR
Counselor (Addiction (Substance Use Disorder))
330 MCHENRY AVE
MODESTO, CA 95354
Stanislaus County (209) 577-3595
STANISLAUS COUNTY
Community/Behavioral Health
330 MCHENRY AVE
MODESTO, CA 95354
Stanislaus County (209) 577-3595
JENNIFER L SABO
Counselor (Mental Health)
330 MCHENRY AVE, SUITE C
MODESTO, CA 95354
Stanislaus County (209) 577-4115

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 Roger Peters's NPI number?

The NPI number for Roger Peters is 1952441966. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Roger Peters located?

Roger Peters practices at 330 Mchenry Ave, Modesto, CA 95354. The listed phone number is (209) 577-3595.

What is Roger Peters's specialty?

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

Is Roger Peters enrolled in Medicare?

Yes. Roger Peters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Roger Peters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Peters reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Total Life Ca, P.C. (Los Angeles, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roger Peters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roger Peters was last updated on November 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.