Organization Active NPI

Cultivation Liberation Family Counseling and Psychotherapy Inc.

  • Marriage & Family Therapist
  • Sebastopol, CA
National Provider Identifier
1194571711
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CULTIVATION LIBERATION FAMILY COUNSELING AND PSYCHOTHERAPY INC.
Doing business as
CLC
Practice address
7808 Stefenoni CT Unit B
Sebastopol, CA 95472-3535
Phone
(707) 666-5170
NPI assigned
Apr 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Joy Jaco, LMFT
Title
Ceo
Phone
(707) 666-5170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

7808 Stefenoni CT Unit B
Sebastopol, CA 95472-3535

Mailing address

PO Box 910
Sebastopol, CA 95473-0910
Phone (707) 666-5170

Other names 1

  • CLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1194571711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954730910",
            "telephone_number": "707-666-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 STEFENONI CT UNIT B",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723535",
            "telephone_number": "707-666-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATION LIBERATION FAMILY COUNSELING AND PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "JACO",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-666-5170",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.