Maya Joanna Krolikiewicz, AMFT
Individual provider Active NPI Mental Health Counselor · North Fork, CA
NPI 1679437487 · NPPES record last updated Dec 15, 2025
Key facts
- NPI
- 1679437487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- AMFT160361 (CA)
- Practice address
- 34134 Wild Rose LN
North Fork, CA 93643-9502 - Phone
- (510) 325-7643
- NPI assigned
- Dec 15, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT160361 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | AMFT160361 | CA | Yes |
Addresses
Primary practice location
34134 Wild Rose LN
North Fork, CA 93643-9502
Mailing address
34134 Wild Rose LN
North Fork, CA 93643-9502
Phone (510) 325-7643
Other providers in North Fork, CA
- Eminence Healthcare, Inc.
- Edmund H Fey
- Tia Hartsock
- Angel Killian
- Aaron Christopher Kissel
- Martha Carole Moore
All providers in North Fork, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.