Individual provider Active NPI

Relyn Alexis Loiseaux

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1366876773
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99016 Issued in CA
Practice address
400 Chinn St Apt 2
Santa Rosa, CA 95404-4341
Phone
(925) 719-3616
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 99016 CA Primary

Addresses

Primary practice location

400 Chinn St Apt 2
Santa Rosa, CA 95404-4341

Mailing address

10390 Bodega Hwy
Sebastopol, CA 95472-2913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Healing Collective Marriage and Family Therapy, a Professional Corporation Marriage & Family Therapist CurrentSince Apr 27, 2025 Accepting new patients

Locations

818 College Ave
Ste E
Santa Rosa, CA 95404
Phone (707) 291-7927

Organizations & group practices 1

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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1366876773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10390 BODEGA HWY",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CHINN ST APT 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044341",
            "telephone_number": "925-719-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOISEAUX",
        "first_name": "RELYN",
        "middle_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.