Emily Maynard, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

135343 Issued in CA

Practice address

26131 Marguerite Pkwy Ste D
Mission Viejo, CA 92692-3161

Phone

(949) 478-5644

NPI assigned

Apr 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• S.a.G.E. Holistic Health & Wellness Center

  • Marriage & Family Therapist
  • Santa Ana, CA
  • NPI 1124545470
  NPD (past)

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1922743525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2362",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926900362",
            "telephone_number": "949-478-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26131 MARGUERITE PKWY STE D",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923161",
            "telephone_number": "949-478-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "EMILY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135343",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115384",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Mathur
• Sasha Matsusaka
• Matt Ahmadi, DPM, Inc.
• Cynthia Lynn Maul, PTA
• Natasha Maylor, PA-C
• Denise Ann Mazzarella, CRNFA
• Hunter Kincaid McCall
• Carly McCarter, SLPA
• Deborah Eve McCarthy, R.D.
• Michael McCawley, MSW, LCSW

• Marriage & Family Therapist in Mission Viejo, CA
• Providers in Mission Viejo, 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 Feb 1, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.