MS. NATHALIE LARISSA MAGGIO LMFT
NPI 1578116307
Marriage & Family Therapist in Seal Beach, CA

Active since July 21, 2019Opted out of Medicare · through Jan 1, 2028
3020 OLD RANCH PKWY STE 300, SEAL BEACH, CA 90740(562) 257-6561 Get Directions Write a Review

NPPES record last updated: January 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 3, 2021, Jul 21, 2019 (2 updates tracked since 2019).

About Ms. Nathalie Larissa Maggio Lmft NPPES

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

MS. NATHALIE LARISSA MAGGIO LMFT (NPI 1578116307) is an individual marriage & family therapist in Seal Beach, California, licensed in California (123459) and active in the NPI registry since July 2019. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1578116307
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. NATHALIE LARISSA MAGGIOCredential: LMFT
Location Address3020 OLD RANCH PKWY STE 300Seal Beach, CA 90740-2751
Mailing Address3020 Old Ranch Pkwy Ste 300Seal Beach, CA 90740-2751 · (562) 257-6561
Sole ProprietorYes
Enumeration DateJuly 21, 2019
Last NPPES UpdateJanuary 3, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2021
NPI 1578116307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 123459
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.

3020 OLD RANCH PKWY STE 300, Seal Beach, CA 90740

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Nathalie Larissa Maggio Lmft 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
3020 OLD RANCH PKWY STE 300
SEAL BEACH, CA 90740
Marriage & Family Therapist
3020 OLD RANCH PKWY STE 300
SEAL BEACH, CA 90740
Social Worker (Clinical)
3020 OLD RANCH PKWY STE 300
SEAL BEACH, CA 90740
Clinic/Center (Mental Health (Including Community Mental Health Center))
3020 OLD RANCH PKWY STE 300
SEAL BEACH, CA 90740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578116307, enumerated as an "individual" on July 21, 2019.

The provider is located at 3020 OLD RANCH PKWY STE 300 SEAL BEACH, CA 90740 and the phone number is (562) 257-6561.

Marriage & Family Therapist with taxonomy code 106H00000X.