Maggie Self, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MAGGIE SELF, LMFT

Practice address

7765 Healdsburg Ave
Sebastopol, CA 95472-3309

Phone

(707) 583-9518

Fax

(877) 795-8030

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Maggie Rose Self, MS, LMFTNPI 1215199054

Title

LMFT

Phone

(707) 583-9518

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maggie Rose Self, MFT

  • Marriage & Family Therapist
  • Sebastopol, CA
  • NPI 1215199054
  NPD (past) Authorized official

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1306484605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954730173",
            "telephone_number": "707-583-9518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 HEALDSBURG AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723309",
            "telephone_number": "707-583-9518",
            "fax_number": "877-795-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIE SELF, LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "707-583-9518",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "endpointDescription": "unknown",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7765 Healdsburg Ave",
            "city": "Sebastopol",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954723309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Xochiquetzal Carmela Lubin-Amaya, LMFT
• Luis T Luna Meza
• Susan Thomas Macdonald, MA
• Taffi Njuni Macharia
• Peter Vokes Madill, M.D.
• Irenne Magoulas, L.C.S.W.
• Michael Majeski, PHARM.D.
• Jillian Leilyn Manley, CMT
• Hayley Catherine Manning, PSY.D.
• Sundi E. Manny

• Marriage & Family Therapist in Sebastopol, CA
• Providers in Sebastopol, 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 17, 2019; 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.