1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Counselor
  6. NPI Profile

MAXWELL JARED CHURCH CMT
NPI 1578849022
Counselor in Santa Rosa, CA

Active since October 28, 2011
634 PRESSLEY ST, SANTA ROSA, CA 95404(707) 573-6955(707) 543-8176 Get Directions Write a Review

NPPES record last updated: October 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maxwell Jared Church Cmt NPPES

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

MAXWELL JARED CHURCH CMT (NPI 1578849022) is an individual counselor in Santa Rosa, California, licensed in (NONE) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1578849022
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMAXWELL JARED CHURCHCredential: CMT
Location Address634 PRESSLEY STSanta Rosa, CA 95404-5526
Mailing Address2048 W Hearn AveSanta Rosa, CA 95407-7342
Phone(707) 573-6955
Fax(707) 543-8176
Sole ProprietorYes
Enumeration DateOctober 28, 2011
✔ NPI 1578849022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed · NONE
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
634 PRESSLEY ST, Santa Rosa, CA 95404
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

ROSALINDA MARIE CASTELLANOS
Counselor
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
KAITLYN WEBER
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
MS. SHERI MICHELLE DABNEY
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 570-3645
KATHERINE KELLIE SLATER
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
MEGAN MICHELLE HAMILTON
Community Health Worker
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
MAYA MARIA NIETO
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
KRISTINA A SICKENGER
Counselor (Mental Health)
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955
OLIVIA LILES
Day Training/Habilitation Specialist
634 PRESSLEY ST
SANTA ROSA, CA 95404
Sonoma County (707) 573-6955

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 Maxwell Church's NPI number?

The NPI number for Maxwell Church is 1578849022. It was assigned to this individual provider in the NPPES registry on October 28, 2011.

Where is Maxwell Church located?

Maxwell Church practices at 634 Pressley St, Santa Rosa, CA 95404. The listed phone number is (707) 573-6955.

What is Maxwell Church's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Maxwell Church was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.