Mary Theresa McMillan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC38132 Issued in CA

Practice address

6220 Gold Dust Dr
Kelseyville, CA 95451-9214

Phone

(707) 972-3913

Fax

(707) 279-2679

NPI assigned

Dec 19, 2007

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1881878353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1236",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954511236",
            "telephone_number": "707-972-3913",
            "fax_number": "707-279-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 GOLD DUST DR",
            "city": "KELSEYVILLE",
            "state": "CA",
            "postal_code": "954519214",
            "telephone_number": "707-972-3913",
            "fax_number": "707-279-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "MARY",
        "middle_name": "THERESA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret J Landini
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• Carol Hansen Littlefield, RN
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• Michael Maravich, PHARM. D.
• Eunice M Mentges, FNP-BC
• Scott Richard Meyer, RI-M0909081620
• Latisha Miles
• Blancandrea Quetzali Molina, LPCC
• Zabdy Martinez Neria, MSW (LCSW 135934)

• Marriage & Family Therapist in Kelseyville, CA
• Providers in Kelseyville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.