Mr Matthew John Kohagen, LMFT | |
1700 Eureka Rd Ste 155, Roseville, CA 95661-7786 | |
(805) 795-1445 | |
Not Available |
Full Name | Mr Matthew John Kohagen |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1700 Eureka Rd Ste 155, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255904421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MBTMFT-10652 (Idaho) | Secondary |
101YM0800X | Counselor - Mental Health | 34760 (California) | Primary |
Entity Name | Fusion Care Group A Psychological Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932 |
Mailing Address | Practice Location Address |
---|---|
Mr Matthew John Kohagen, LMFT 1700 Eureka Rd Ste 155, Roseville, CA 95661-7786 Ph: (530) 492-5150 | Mr Matthew John Kohagen, LMFT 1700 Eureka Rd Ste 155, Roseville, CA 95661-7786 Ph: (805) 795-1445 |
Madison Alexa Gomez, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1098 Melody Ln Ste 101, Roseville, CA 95678 Phone: 916-884-3812 | |
Brandy Luissha Baggett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1620 Santa Clara Dr Ste 100, Roseville, CA 95661 Phone: 916-786-3750 Fax: 916-786-3761 | |
Manouela Krasteva Dimova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1133 Coloma Way, Roseville, CA 95661 Phone: 916-774-6647 | |
Mrs. Janelle Leeanne Stepper, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Blue Oaks Blvd Ste 120, Roseville, CA 95747 Phone: 916-755-9923 | |
Mr. Roman Naseri I, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1133 Coloma Way, Roseville, CA 95661 Phone: 916-798-5485 | |
Nary Rath, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3400 Douglas Blvd Ste 170, Roseville, CA 95661 Phone: 916-740-3721 | |
Dr. Jennica Rachel Jenkins, PSYD, LPC, LPCC, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661 Phone: 916-747-3799 |