Debra Ann Sedeno

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT128185 Issued in CA

Practice address

3434 Mendocino Ave # a
Santa Rosa, CA 95403-2274

Phone

(707) 583-9094

Fax

(707) 708-2188

NPI assigned

Dec 31, 2024

Last updated

Dec 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sonoma County Child & Family Counseling, Inc.

  dba Sonoma County Counseling

  • Marriage & Family Therapist
  • Santa Rosa, CA
  • NPI 1639617699
  NPD (past)
• Sonoma County Child & Family Counseling, Inc.

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1689195216
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1083423479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PINER RD APT 104",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954036960",
            "telephone_number": "707-583-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 MENDOCINO AVE # A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032274",
            "telephone_number": "707-583-9094",
            "fax_number": "707-708-2188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8733 Lakewood Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CA",
            "postal_code": "954929554",
            "country_code": "US",
            "telephone_number": "707-583-9094",
            "fax_number": "707-892-2190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDENO",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT128185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinyu Seay
• Travis Glen Sebera
• William Sechrist, RN
• Cyrus Sedagatnia
• Marisela Sedano, LMFT
• Jennifer A Sederholm, LCSW
• Lena Miriam Sedlik
• Seek Optimal Health a Professional Corporation
• Chloe Joy Seekins
• Brien A. Seeley, M.D.

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.