Mycelium Family Therapy, Professional Corporation

ActiveOrganizationSocial Worker
NPI issued: May 16, 2026

Quick Facts

NPI Number
1124957030
TypeOrganization
StatusActive
SpecialtySocial Worker
Taxonomy104100000X — Social Worker
Phone
(707) 782-2419
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1124957030)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 16, 2026)
Data source: CMS NPPES

Provider Overview

MYCELIUM FAMILY THERAPY, PROFESSIONAL CORPORATION is a Social Worker provider based in Cotati, CA who has been registered with CMS since 2026. They are affiliated with Mycelium Counseling Collective. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1124957030
Provider TypeOrganization
StatusActive
Enumeration DateMay 16, 2026

Practice Location

CityCotati
StateCA
ZIP Code94931-4532
Phone(707) 782-2419

Specialties & Licenses

★ Primary
SpecialtySocial Worker
Taxonomy Code104100000X
License StateCA

Mailing Address

CityCotati
StateCA
ZIP Code94931-4532
Phone(707) 782-2419
Same as practice location

Hospital & Organization Affiliations

🏢

Mycelium Counseling Collective

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How to Use This NPI

📋

For Insurance Billing

Use NPI 1124957030 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1124957030for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1124957030 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Social Worker

Clinical Social Workers provide counseling, therapy, and support services to diagnose and treat mental, behavioral, and emotional disorders, often advocating for clients' access to social resources.

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145,588
Social Worker Providers in the US

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Windows Health Corporation

📍 Cotati, CA 94931-4532

Other Healthcare Providers in Cotati

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Specialty not listed

Vicki Van Winkle, MFT

Mental Health Counselor

Kenneth Shaw, DDS

Dentistry

Susan Berg, MFT

Marriage & Family Therapist

Mary Eickmeyer, PSY.D

Clinical Psychologist

Anita Palmatier, MFT

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People Also Ask

What is Mycelium Family Therapy, Professional Corporation's NPI number?
Mycelium Family Therapy, Professional Corporation's NPI number is 1124957030, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Mycelium Family Therapy, Professional Corporation's NPI currently active?
Yes, Mycelium Family Therapy, Professional Corporation's NPI status is Active as of the latest CMS NPPES database updates.
What does Mycelium Family Therapy, Professional Corporation specialize in?
Mycelium Family Therapy, Professional Corporation specializes in Social Worker. The healthcare taxonomy code associated with this specialty is 104100000X.
Where does Mycelium Family Therapy, Professional Corporation practice?
Mycelium Family Therapy, Professional Corporation practices in Cotati, CA 94931-4532.
When was Mycelium Family Therapy, Professional Corporation's NPI issued?
Mycelium Family Therapy, Professional Corporation's NPI was issued on May 16, 2026.
What is Mycelium Family Therapy, Professional Corporation's provider type?
Mycelium Family Therapy, Professional Corporation is registered as an Organization under CMS NPI Type 2.