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MRS. RAPHAELLA CROCCIA LMFT
NPI 1962716886
Marriage & Family Therapist in San Diego, CA

Active since August 03, 2010Opted out of Medicare · through Feb 8, 2028
1761 HOTEL CIR S STE 118, SAN DIEGO, CA 92108(858) 232-1836 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 27, 2022, Dec 21, 2016 (2 updates tracked since 2016).

About Mrs. Raphaella Croccia Lmft NPPES

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

MRS. RAPHAELLA CROCCIA LMFT (NPI 1962716886) is an individual marriage & family therapist in San Diego, California, licensed in California (52988) and active in the NPI registry since August 2010. She has opted out of Medicare through February 8, 2028.

NPPES Registry Identity

NPI1962716886
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. RAPHAELLA CROCCIACredential: LMFT
Location Address1761 HOTEL CIR S STE 118San Diego, CA 92108-3318
Mailing Address1761 Hotel Cir S Ste 118San Diego, CA 92108-3318 · (858) 232-1836
Phone(858) 232-1836
Sole ProprietorYes
Enumeration DateAugust 3, 2010
Last NPPES UpdateDecember 27, 20222 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1962716886 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 · 52988
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.
1761 HOTEL CIR S STE 118, San Diego, CA 92108
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Other Identifiers 2

Medicaid95-1944230CA
Other100193180001CA · Blue Shield Of Ca

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Raphaella Croccia Lmft 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 February 8, 2024 through February 8, 2028.

Opt-Out Effective DateFebruary 8, 2024
Opt-Out In Effect ThroughFebruary 8, 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

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

CHILD THERAPY SAN DIEGO
Marriage & Family Therapist
1761 HOTEL CIR S STE 118
SAN DIEGO, CA 92108
San Diego County (858) 232-1836

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 Raphaella Croccia's NPI number?

The NPI number for Raphaella Croccia is 1962716886. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Where is Raphaella Croccia located?

Raphaella Croccia practices at 1761 Hotel Cir S Ste 118, San Diego, CA 92108. The listed phone number is (858) 232-1836.

What is Raphaella Croccia's specialty?

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

Is Raphaella Croccia enrolled in Medicare?

No. Raphaella Croccia has opted out of Medicare through February 8, 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 Raphaella Croccia was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.