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NPI · 1124957030 · NPPES-sourced

Mycelium Family Therapy, Professional Corporation

ActiveMarriage & Family Therapist
NPI Number
1124957030
Type 2 · Organisation
Taxonomy Code
106H00000X
Contact
(707) 782-2419
Primary practice line
Last Updated
Enumerated
Primary practice addressCA · 94931-4532
7 Page St Ste BCotati, CA 94931-4532
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About this NPIWhat this record shows.

NPI 1124957030 is registered to Mycelium Family Therapy, Professional Corporation, a healthcare organisation classified as "Marriage & Family Therapist" and located at 7 Page St Ste B in Cotati, California. The organisation's authorised official is Lacey Palmer. The organisation has been enumerated in the NPI registry since 2026.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mycelium Family Therapy, Professional Corporation accepts. To confirm in-network status with your specific health plan, contact Mycelium Family Therapy, Professional Corporation directly at (707) 782-2419.

Frequently asked

Yes. NPI 1124957030 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Marriage & Family Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 782-2419.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mycelium Family Therapy, Professional Corporation is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy106H00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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1 record · same addressOther providers at this location.

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Same specialtyOther Marriage & Family Therapist providers in California.

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