NICOLE MARIE ESTRADA (NPI# 1093073439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093073439 |
| Entity Type | Individual |
| Full Name | NICOLE MARIE ESTRADA |
| Credential | LMFT, LPC |
| Practice Address |
9615 Grand Ronde Rd Grand Ronde OR 97347-9712 |
| Practice Telephone | 5038792026 |
| Practice Fax Number | 5038794606 |
| Mailing Telephone | 5038792026 |
| Mailing Fax Number | 5038794606 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2014-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMF 54034 | CA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | T0986 | OR | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LMFT77123 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | IMF 54034 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093355802 | Nicole Estrada | Peer Specialist | 7 Railroad Ave, Middletown, NY 10940-4907 | 2020-01-09 |
| 1639728389 | Nicole Estrada | Case Manager/Care Coordinator | 11 Route 111, Smithtown, NY 11787-3754 | 2019-09-05 |
| 1063076990 | Nicole Estrada | Technician | 6128 W Sahara Ave, Las Vegas, NV 89146-3051 | 2019-04-25 |
| 1114428158 | Nicole D Estrada | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-02-26 |
| Street Address |
9615 GRAND RONDE RD |
| City | GRAND RONDE |
| State | OR |
| Zip Code | 97347-9712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689700213 | Angela R Vargas | Counselor | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2007-02-26 |
| 1326513367 | Confederated Tribes of Grand Ronde Community of Oregon | Radiology | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2018-10-05 |
| 1922554542 | Terri Knowles | Optometrist | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2016-09-01 |
| 1881970069 | Sarah J Ross | Speech-Language Pathologist | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2011-11-01 |
| 1073709499 | Erin Margaret Lange | Dentist | 9615 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023325859 | Linda 'lynn' Michelle House | Licensed Practical Nurse | 7650 Birch Street, Grand Ronde, OR 97347-0024 | 2010-08-31 |
| 1932180734 | Lance Gregory Loberg | Family Medicine | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2005-11-08 |
| 1003286840 | Albert Martineau | Counselor | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2015-10-06 |
| 1417390634 | Andrew R Canning | Student in an Organized Health Care Education/Training Program | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2013-04-08 |
| 1104164359 | Confederated Tribes of Grand Ronde Community of Oregon Dba Gr Health & | Clinic/Center | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2013-01-23 |
| 1508111931 | Capitol Physical Therapy, Inc | Physical Therapist | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2012-07-23 |
| 1477845352 | Jeanette Marie Kaschmitter | Counselor | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2011-05-10 |
| 1366765687 | George Ryan Davis | Dentist | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2010-03-02 |
| 1467692350 | Ashley Rose Nunley | Chiropractor | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2009-03-05 |
| 1477711802 | Confederated Tribes of The Grand Ronde Community of Oregon | Pharmacy | 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | 2008-06-02 |
| Find all providers in zip 97347 | ||||
| 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 |
|---|---|---|---|---|
| 1699382168 | Aja Meadows | Marriage & Family Therapist | 3783 Westleigh St, Eugene, OR 97405-1137 | 2020-09-28 |
| 1902410012 | High Vibe Society | Marriage & Family Therapist | 1582 Santiam Ave, Eugene, OR 97408-6004 | 2020-09-04 |
| 1669082061 | Kelsey Miller | Marriage & Family Therapist | 5515 N Williams Ave, Portland, OR 97217-2452 | 2020-07-31 |
| 1376152967 | Mahvash Azadegan | Marriage & Family Therapist | 16940 Sw Kattegat Dr, Beaverton, OR 97006-8953 | 2020-07-29 |
| 1558979559 | Took Smoot | Marriage & Family Therapist | 7427 Sw Coho Ct Ste 200no5, Tualatin, OR 97062-8618 | 2020-07-16 |
| 1255959631 | Veronica Terese Valdez | Marriage & Family Therapist | 4445 S Barbur Blvd Ste 205, Portland, OR 97239-4047 | 2020-07-11 |
| 1649896630 | Moving Forward Staying Present LLC | Marriage & Family Therapist | 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 | 2020-06-25 |
| 1700402070 | Devan Larsen | Marriage & Family Therapist | 20526 Mutt Ct, Bend, OR 97701-7935 | 2020-06-22 |
| 1346863677 | Dan Thomas Schmitt | Marriage & Family Therapist | 541 Willamette St Ste 301, Eugene, OR 97401-2692 | 2020-05-21 |
| 1992324909 | E. Kirsten Hughes, Lmft, LLC | Marriage & Family Therapist | 1991 Garden Ave, Eugene, OR 97403-1934 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RONDE |
| Zip Code | 97347 |
Please comment or provide details below to improve the information on NICOLE MARIE ESTRADA.
| 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.