Active NPI
Jim Morein
- Marriage & Family Therapist
- Sonoma, CA
National Provider Identifier
1023791654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 139147
- Practice address
- 814 Broadway
Sonoma, CA 95476 - Phone
- (707) 509-8031
- NPI assigned
- Aug 10, 2023
- Last updated
- Aug 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 139147 | CA | Primary |
Addresses
Primary practice location
814 Broadway
Sonoma, CA 95476
Mailing address
814 Broadway
Sonoma, CA 95476
Phone (707) 509-8031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 139147 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoma Valley Family Therapy PC | Single Specialty | Current | Accepting new patients |
| Sonoma Valley Family Therapy PC | Single Specialty | Current | Accepting new patients |
Locations
814 Broadway
Sonoma, CA 95476
Phone (707) 509-8031
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1023791654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 BROADWAY",
"city": "SONOMA",
"state": "CA",
"postal_code": "95476",
"telephone_number": "707-509-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 BROADWAY",
"city": "SONOMA",
"state": "CA",
"postal_code": "95476",
"telephone_number": "707-509-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREIN",
"first_name": "JIM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "139147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.