Petaluma Family Therapy Inc
NPI 1568911964ActiveOrganization· Marriage & Family Therapist· Petaluma, CA
Marriage & Family Therapist in Petaluma, California, registered in NPPES in September 2016. The authorized official on file is Marcus Moore, Owner.
Overview
| NPI | 1568911964 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2016 |
| Last updated in NPPES | Jul 31, 2025 |
| Certified by provider | Jul 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | — | — |
| Counselor | 101Y00000X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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