Individual provider Active NPI

Nikona Mulkovich, MFT

  • Marriage & Family Therapist
  • Sebastopol, CA
National Provider Identifier
1952287625
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
21700 Issued in CA
Practice address
7849 Barcaglia Rd
Sebastopol, CA 95472-6406
Phone
(707) 529-9995
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 21700 CA Primary

Addresses

Primary practice location

7849 Barcaglia Rd
Sebastopol, CA 95472-6406

Mailing address

7849 Barcaglia Rd
Sebastopol, CA 95472-6406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 15, 2025 through Aug 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21700CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1952287625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7849 BARCAGLIA RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954726406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7849 BARCAGLIA RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954726406",
            "telephone_number": "707-529-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKOVICH",
        "first_name": "NIKONA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "21700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

Verify at the official NPI Registry.