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MAGGIE ROSE SELF MFT
NPI 1215199054
Marriage & Family Therapist in Sebastopol, CA

Active since July 01, 2008Opted out of Medicare · through Jan 18, 2028
7765 HEALDSBURG AVE, SEBASTOPOL, CA 95472(707) 583-9518 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maggie Rose Self Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGGIE ROSE SELF MFT (NPI 1215199054) is an individual marriage & family therapist in Sebastopol, California, licensed in California (53133) and active in the NPI registry since July 2008. She has opted out of Medicare through January 18, 2028 and maintains a secondary practice location in Sebastopol.

NPPES Registry Identity

NPI1215199054
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMAGGIE ROSE SELFCredential: MFT
Location Address7765 HEALDSBURG AVESebastopol, CA 95472
Mailing AddressPo Box 173Sebastopol, CA 95473-0173 · (707) 583-9518
Phone(707) 583-9518
Sole ProprietorYes
Enumeration DateJuly 1, 2008
Last NPPES UpdateMay 30, 2018
✔ NPI 1215199054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 53133
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselorTaxonomy 101Y00000X
7765 HEALDSBURG AVE, Sebastopol, CA 95472
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Secondary Practice Location 1

Location 1919 McFarlane AveSebastopol, CA 95472-4419 · Phone (707) 583-9518

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Maggie Rose Self Mft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 18, 2024 through January 18, 2028.

Opt-Out Effective DateJanuary 18, 2024
Opt-Out In Effect ThroughJanuary 18, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHOSHANA ROSE DAVIS AMFT
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 696-9648
DR. KENDELL DESMOND JACK D.C
Chiropractor
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 823-3113
DIANA S POULSON
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 824-4782
MS. ELAINE SOHIER GAYLER M.A.
Marriage & Family Therapist
7765 HEALDSBURG AVE, SUITE 12
SEBASTOPOL, CA 95472
Sonoma County (707) 486-2947
MR. CHASE L DESSO LAC
Acupuncturist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 861-8930
ANGELICA ROSERIA JOCHIM MFT
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 634-4656
MAGGIE SELF, LMFT
Marriage & Family Therapist
7765 HEALDSBURG AVE
SEBASTOPOL, CA 95472
Sonoma County (707) 583-9518
MRS. HEATHER R. FOSTER MA, LMFT
Marriage & Family Therapist
7765 HEALDSBURG AVE, SUITE 12
SEBASTOPOL, CA 95472
Sonoma County (707) 337-0468

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maggie Self's NPI number?

The NPI number for Maggie Self is 1215199054. It was assigned to this individual provider in the NPPES registry on July 1, 2008.

Where is Maggie Self located?

Maggie Self practices at 7765 Healdsburg Ave, Sebastopol, CA 95472. The listed phone number is (707) 583-9518.

What is Maggie Self's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Maggie Self enrolled in Medicare?

No. Maggie Self has opted out of Medicare through January 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Maggie Self accept?

Health plans from Providence Health Plan list Maggie Self as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maggie Self was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.