Individual provider Active NPI

Maya Diane Washington, B.A, M.A.

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1134880263
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130079 Issued in CA
Practice address
8110 Pocket Rd Ste 102
Sacramento, CA 95831-5829
Phone
(916) 245-0715
NPI assigned
Dec 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 130079 CA Primary

Addresses

Primary practice location

8110 Pocket Rd Ste 102
Sacramento, CA 95831-5829

Mailing address

127 Main St Apt 3
Woodland, CA 95695-3165
Phone (310) 753-5854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327003958 TX Practitioner - Marriage and Family Therapist 2769905934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Master of Arts

State licenses

LicenseStateTypeSpecialty
130079CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health Inc Current Accepting new patients
Northern Valley Indian Health Inc CurrentSince Feb 3, 2025 Accepting new patients
Northern Valley Indian Health, Inc CurrentSince Feb 3, 2025 Accepting new patients
Heart of the Matter Counseling Marriage & Family Therapist CurrentSince Feb 1, 2022 Accepting new patients

Locations

1990 Concord Ave
Chico, CA 95928
Phone (530) 809-3300

8110 Pocket Rd
Ste 102
Sacramento, CA 95831
Phone (916) 245-0715

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

175 W Court St
Woodland, CA 95695
Phone (530) 661-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAEBD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1134880263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MAIN ST APT 3",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "956953165",
            "telephone_number": "310-753-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8110 POCKET RD STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315829",
            "telephone_number": "916-245-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MAYA",
        "middle_name": "DIANE",
        "credential": "B.A, M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "130079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.