Active NPI
Judith Blackbird Joinville, LMFT
- Marriage & Family Therapist
- Sebastopol, CA
National Provider Identifier
1659447407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT31799
- Practice address
- 328 Springdale St
Sebastopol, CA 95472-3253 - Phone
- (707) 775-1281
- NPI assigned
- Nov 24, 2006
- Last updated
- Jul 6, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT31799 | CA | MD | Marriage & Family Therapist |
| 31799 | CA | MD | Chiropractor |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.