Individual provider Active NPI

Nicole L Rennix, LMFT

  • Marriage & Family Therapist
  • Mill Valley, CA
National Provider Identifier
1558774265
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114057 Issued in CA
Practice address
254 Miller Ave
Mill Valley, CA 94941-2829
Phone
(707) 656-3736
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 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 114057 CA Primary

Addresses

Primary practice location

254 Miller Ave
Mill Valley, CA 94941-2829

Mailing address

203 Flamingo Rd # 510
Mill Valley, CA 94941-3603
Phone (707) 227-2964

Other names 1

  • Nicole L Seiffert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
114057CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1558774265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 FLAMINGO RD # 510",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413603",
            "telephone_number": "707-227-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412829",
            "telephone_number": "707-656-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNIX",
        "first_name": "NICOLE",
        "middle_name": "L",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "SEIFFERT",
            "middle_name": "L",
            "credential": "AMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.