Individual provider Active NPI

Heather Theo Macbeth

  • Marriage & Family Therapist
  • El Sobrante, CA
National Provider Identifier
1558434415
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
4892 San Pablo Dam Rd
El Sobrante, CA 94803-3222
Phone
(510) 836-9567
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

4892 San Pablo Dam Rd
El Sobrante, CA 94803-3222

Mailing address

4892 San Pablo Dam Rd
El Sobrante, CA 94803-3222
Phone (510) 836-9567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 6, 2026 through Mar 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1558434415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4892 SAN PABLO DAM RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033222",
            "telephone_number": "510-836-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4892 SAN PABLO DAM RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033222",
            "telephone_number": "510-836-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACBETH",
        "first_name": "HEATHER",
        "middle_name": "THEO",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Sobrante, CA

Sources for this page

Verify at the official NPI Registry.