KRISTEN MARIE NICHOLS (NPI# 1053841064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053841064 |
| Entity Type | Individual |
| Full Name | KRISTEN MARIE NICHOLS |
| Credential | LMFT |
| Practice Address |
8950 Villa La Jolla Dr Ste A218 La Jolla CA 92037-1711 |
| Mailing Address |
7544 Charmant Dr Apt 1312 San Diego CA 92122-5045 |
| Practice Telephone | 8583713124 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 98725 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776341 | Kristen Elizabeth Nichols | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-06-26 |
| 1447885322 | Kristen Elizabeth Nichols | Social Worker | 2277 Grand Ave, Baldwin, NY 11510-3148 | 2020-03-11 |
| 1972143816 | Kristen Michelle Nichols | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-01-08 |
| 1285285718 | Kristen Nichols | Speech-Language Pathologist | 534 Owl Creek Dr, Powder Springs, GA 30127-6285 | 2019-09-25 |
| 1265942486 | Kristen Ann Nichols | Registered Nurse | 780 Albany St, Boston, MA 02118-2755 | 2017-10-02 |
| 1710404702 | Kristen Busico Nichols | Social Worker | 5667 S Redwood Rd Unit 6b, Taylorsville, UT 84123-5495 | 2017-08-29 |
| 1043529886 | Kristen Nichols | Counselor | 325 Il Route 2, Dixon, IL 61021-9118 | 2010-09-28 |
| 1063590727 | Kristen L. Nichols | Emergency Medicine | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2006-11-01 |
| 1467431874 | Kristen Benae Nichols | Dentist | 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | 2006-01-13 |
| Street Address |
8950 VILLA LA JOLLA DR STE A218 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306005566 | Natalie Masson | Psychologist | 8950 Villa La Jolla Dr Ste A218, La Jolla, CA 92037-1711 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013383 | Emily Kron | Marriage & Family Therapist | 8950 Villa La Jolla Dr Ste A109, La Jolla, CA 92037-1706 | 2020-08-10 |
| 1750903837 | Megan Broderick | Marriage & Family Therapist | 6110 Beaumont Ave, La Jolla, CA 92037-6746 | 2020-05-12 |
| 1023591740 | Natalie Davila Steele | Marriage & Family Therapist | 7730 Herschel Ave Ste K, La Jolla, CA 92037-4432 | 2018-09-09 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1740709799 | Bryson Greaves | Marriage & Family Therapist | 7946 Ivanhoe Ave Ste 203, La Jolla, CA 92037-4517 | 2017-09-11 |
| 1487096046 | Craig Lambert Therapy | Marriage & Family Therapist | 7791 Starlight Dr, La Jolla, CA 92037-3543 | 2013-07-24 |
| 1790025385 | Julie Shmalo Datnow | Marriage & Family Therapist | 8717 Cliffridge Ave, La Jolla, CA 92037-2115 | 2013-02-19 |
| 1861743106 | Jennifer Warkentin | Marriage & Family Therapist | 7757 Herschel Ave, La Jolla, CA 92037-4406 | 2012-09-26 |
| 1720346604 | Sandra E. Jacobs | Marriage & Family Therapist | 3145 Morning Way, La Jolla, CA 92037-1908 | 2012-04-27 |
| 1861650624 | Paige Victoria Sloane | Marriage & Family Therapist | 7924 Ivanhoe, La Jolla, CA 92037 | 2008-05-29 |
| Find all providers in LA JOLLA | ||||
Please comment or provide details below to improve the information on KRISTEN MARIE NICHOLS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.