Individual provider Active NPI

Judith Blackbird Joinville, LMFT

  • Marriage & Family Therapist
  • Sebastopol, CA
National Provider Identifier
1659447407
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT31799 Issued in CA
Practice address
328 Springdale St
Sebastopol, CA 95472-3253
Phone
(707) 775-1281
NPI assigned
Nov 24, 2006
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 MFT31799 CA Primary

Addresses

Primary practice location

328 Springdale St
Sebastopol, CA 95472-3253

Mailing address

PO Box 960
Sebastopol, CA 95473-0960
Phone (707) 775-1281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007000548 CA Practitioner - Marriage and Family Therapist 5890292072 Practice locations: Sebastopol, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

328 Springdale St
Sebastopol, CA 95472-3253
Phone (707) 775-1281

PO Box
Sebastopol, CA 95473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT31799CAMDMarriage & Family Therapist
31799CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1659447407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954730960",
            "telephone_number": "707-775-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 SPRINGDALE ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723253",
            "telephone_number": "707-775-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINVILLE",
        "first_name": "JUDITH",
        "middle_name": "BLACKBIRD",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-24",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT31799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

Verify at the official NPI Registry.