MS. SUSAN KISTIN MFT
NPI 1962642686
Marriage & Family Therapist in Sebastopol, CA

Q: What is Susan Kistin's NPI number?

The NPI number for Susan Kistin is 1962642686. It was assigned to this individual provider in the NPPES registry on February 21, 2009.

Q: What is Susan Kistin's specialty?

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

Q: Is Susan Kistin enrolled in Medicare?

No. Susan Kistin 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 Susan Kistin was last updated on February 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 21, 2009Opted out of Medicare · through Jan 1, 2028

820 GRAVENSTEIN AVE, SUITE 200, SEBASTOPOL, CA 95472(707) 823-1319 Get Directions Write a Review

NPPES record last updated: February 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Susan Kistin Mft NPPES

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

MS. SUSAN KISTIN MFT (NPI 1962642686) is an individual marriage & family therapist in Sebastopol, California, licensed in California (MFC41902) and active in the NPI registry since February 2009. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1962642686

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. SUSAN KISTINCredential: MFT

Location Address820 GRAVENSTEIN AVE, SUITE 200Sebastopol, CA 95472-4557

Mailing Address820 Gravenstein Ave, Suite 200Sebastopol, CA 95472-4557 · (707) 823-1319

Phone(707) 823-1319

Sole ProprietorYes

Enumeration DateFebruary 21, 2009

✔ NPI 1962642686 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 · MFC41902

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.

820 GRAVENSTEIN AVE, Sebastopol, CA 95472

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Susan Kistin Mft 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

Other Providers at the Same Location NPPES 3

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

ELIZABETH TUCKER SAILER L.AC.

Acupuncturist

820 GRAVENSTEIN AVE, SUITE 100
SEBASTOPOL, CA 95472

Sonoma County (707) 228-8102

PERSIMMON, A CENTER FOR HEALING ACUPUNCTURE CORPORATION

Acupuncturist

820 GRAVENSTEIN AVE, SUITE 100
SEBASTOPOL, CA 95472

Sonoma County (707) 823-8903

RUTH SCHLESINGER L.AC

Acupuncturist

820 GRAVENSTEIN AVE, SUITE 100
SEBASTOPOL, CA 95472

Sonoma County (707) 823-8903

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 Susan Kistin's NPI number?

The NPI number for Susan Kistin is 1962642686. It was assigned to this individual provider in the NPPES registry on February 21, 2009.

Where is Susan Kistin located?

Susan Kistin practices at 820 Gravenstein Ave Suite 200, Sebastopol, CA 95472. The listed phone number is (707) 823-1319.

What is Susan Kistin's specialty?

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

Is Susan Kistin enrolled in Medicare?

No. Susan Kistin 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.

When was this NPI record last updated?

The NPPES record for Susan Kistin was last updated on February 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.