Individual provider Active NPI

Elizabeth Jane Storm, MFT

  • Marriage & Family Therapist
  • Windsor, CA
National Provider Identifier
1811219405
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC51181 Issued in CA
Practice address
801 Denbeste CT
107
Windsor, CA 95492
Phone
(707) 861-8167
NPI assigned
Feb 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 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 MFC51181 CA Primary

Addresses

Primary practice location

801 Denbeste CT
107
Windsor, CA 95492

Mailing address

PO Box 2119
Sebastopol, CA 95473-2119
Phone (707) 565-7819

Other practice location 1

2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone (707) 565-4796

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
I20251112001115 CA Practitioner - Marriage and Family Therapist 9335630979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1450 Neotomas Ave
Suite 200
Santa Rosa, CA 95405-7574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC51181CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sonoma Current Accepting new patients
County of Sonoma CurrentSince Oct 11, 2025 Accepting new patients
County of Sonoma CurrentSince Oct 11, 2025 Accepting new patients
Department of Health Past Accepting new patients

Locations

5350 Old Redwood Hwy
Unit 600
Petaluma, CA 94954
Phone (707) 565-1270

1450 Neotomas Ave
Ste 200
Santa Rosa, CA 95405
Phone (707) 565-4131

2225 Challenger Way
Santa Rosa, CA 95407
Phone (707) 565-4101

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1811219405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2119",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954732119",
            "telephone_number": "707-565-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 DENBESTE CT",
            "address_2": "107",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "95492",
            "telephone_number": "707-861-8167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 Challenger Way",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954075441",
            "country_code": "US",
            "telephone_number": "707-565-4796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORM",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CA

Sources for this page

Verify at the official NPI Registry.