MR. ALBERT ERIC ELLSMORE LMFT - NPI 1982732129 - Marriage & Family Therapist in Turlock, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Mr. Albert Eric Ellsmore Lmft NPPES

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

MR. ALBERT ERIC ELLSMORE LMFT (NPI 1982732129) is an individual marriage & family therapist in Turlock, California, licensed in California (MFC 29504) and active in the NPI registry since March 2007. He has opted out of Medicare through April 9, 2027.

NPPES Registry Identity

NPI1982732129

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. ALBERT ERIC ELLSMORECredential: LMFT

Location Address440 E CANAL DRTurlock, CA 95380-3936

Mailing Address440 E Canal DrTurlock, CA 95380-3936 · (209) 668-6121 · Fax (209) 656-1487

Phone(209) 668-6121

Fax(209) 656-1487

Sole ProprietorNo

Enumeration DateMarch 1, 2007

Last NPPES UpdateDecember 30, 2021

✔ NPI 1982732129 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 · MFC 29504

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.

440 E CANAL DR, Turlock, CA 95380

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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

Mr. Albert Eric Ellsmore 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 April 9, 2025 through April 9, 2027.

Opt-Out Effective DateApril 9, 2025

Opt-Out In Effect ThroughApril 9, 2027Opt-out affidavits renew automatically every two years unless cancelled