MRS. ANIKKA L GOODMAN-CUSTODIO LMFT
NPI 1972038198
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Anikka Goodman-custodio's NPI number?

The NPI number for Anikka Goodman-custodio is 1972038198. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Q: What is Anikka Goodman-custodio's specialty?

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

Active since April 25, 2017PECOS Enrolled

2255 CHALLENGER WAY STE 107, SANTA ROSA, CA 95407(707) 565-6174 Get Directions Write a Review

NPPES record last updated: February 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 16, 2025, Feb 9, 2022, Dec 14, 2017 and 1 more (4 updates tracked since 2017).

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About Mrs. Anikka L Goodman-custodio Lmft NPPES

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

MRS. ANIKKA L GOODMAN-CUSTODIO LMFT (NPI 1972038198) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (131001) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972038198

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. ANIKKA L GOODMAN-CUSTODIOCredential: LMFT

Location Address2255 CHALLENGER WAY STE 107Santa Rosa, CA 95407-5423

Mailing AddressPo Box 358Valley Ford, CA 94972-0358

Phone(707) 565-6174

Sole ProprietorNo

Enumeration DateApril 25, 2017

Last NPPES UpdateFebruary 16, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1972038198 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 · 131001

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.

2255 CHALLENGER WAY STE 107, Santa Rosa, CA 95407

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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 (PECOS)

Mrs. Anikka L Goodman-custodio Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Anikka Goodman-custodio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Sonoma

Same address

Mental Health (Including Community Mental Health Center)

2255 CHALLENGER WAY STE 107
Santa Rosa, CA 95407

Reassigned Medicare billing, California enrollment
64 clinicians in this Medicare group

NPI 1457923989 (707) 565-4959

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 20

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

LENIRA ORTEGA

Rehabilitation Practitioner