NICOLE ANDERSON (NPI# 1972918209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972918209 |
| Entity Type | Individual |
| Full Name | NICOLE ANDERSON |
| Practice Address |
1401 Parkmoor Ave Suite 230 San Jose CA 95126-3403 |
| Practice Telephone | 4084062240 |
| Practice Fax Number | 4089710820 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376174367 | Nicole Anderson | Counselor | 189 Orange St Ste 380, New Haven, CT 06510-2014 | 2020-01-29 |
| 1386285567 | Nicole Anderson | Psychologist | 17100 Glenmount Park Dr Ste C, Webster, TX 77598-4368 | 2019-09-30 |
| 1558865923 | Nicole Anderson | Dental Hygienist | 144 Genesee St Ste 303, Auburn, NY 13021-3526 | 2018-03-21 |
| 1699275149 | Nicole S Anderson | Counselor | 6919 E 10th St Ste C, Indianapolis, IN 46219-4893 | 2018-02-20 |
| 1518479880 | Nicole Anderson | Registered Nurse | 5514 Aeriel Pl, Frederick, MD 21703-6555 | 2017-10-26 |
| 1578099214 | Nicole A Anderson | Physical Therapist | 260 Newport Center Dr Ste 502, Newport Beach, CA 92660-7520 | 2017-05-01 |
| 1093248528 | Nicole Anderson | Speech-Language Pathologist | 9907 Ne 124th St, Apt. 816, Kirkland, WA 98034-3752 | 2017-04-11 |
| 1275074148 | Nicole Anderson | Occupational Therapist | 2176 State Route 32, Modena, NY 12548-5211 | 2017-03-13 |
| 1063805869 | Nicole Anderson | Behavioral Analyst | 2105 E Park St, Cedar Park, TX 78613-4598 | 2015-03-18 |
| 1912305954 | Nicole Nichelle Anderson | Counselor | 3820 Kenzie Ct, Balch Springs, TX 75180-5011 | 2014-12-08 |
| Street Address |
1401 PARKMOOR AVE SUITE 230 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95126-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295959443 | Stephany Crisolo Aiello | Behavioral Analyst | 1401 Parkmoor Ave, Ste #208, San Jose, CA 95126-3403 | 2007-04-12 |
| 1871145482 | Desiree Valencia | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-07-13 |
| 1780236398 | Desiree Holland | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-07-13 |
| 1861044471 | Tim Welch | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-07-13 |
| 1770135386 | Jessica Jones | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-07-13 |
| 1639739832 | Dylan Duvio | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-06-19 |
| 1013577212 | Timothy Harlan | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-06-19 |
| 1831759034 | Jannet Arellano | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-06-19 |
| 1164082376 | Shelley Mae Iglesias | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-06-19 |
| 1073173282 | Roini Gomez | Behavior Technician | 1401 Parkmoor Ave, Suite 208, San Jose, CA 95126-3403 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830418 | Esperanza Maravilla | Counselor | 1259 Park Ave, Apt 15, San Jose, CA 95126 | 2018-05-04 |
| 1811417819 | Sahr Lawande | Occupational Therapist | 1373 University Ave, San Jose, CA 95126 | 2017-06-21 |
| 1063941482 | Yang Li | Acupuncturist | 1520 Southwest Expy Unit 141, San Jose, CA 95126 | 2017-06-08 |
| 1598294860 | Camille Campbell | Counselor | 1400 Parkmoor Avenue, Suite 115, San Jose, CA 95126 | 2017-06-08 |
| 1588193387 | Vanessa Aspera | Case Manager/Care Coordinator | 1400 Parkmoor Avenue, San Jose, CA 95126 | 2017-06-06 |
| 1538692603 | Alexa Stine Fields | Acupuncturist | 714 Harding Ave, San Jose, CA 95126 | 2017-04-06 |
| 1669903647 | Lillette Rosete | Assisted Living Facility | 960 Vermont St, San Jose, CA 95126 | 2017-03-22 |
| 1952847105 | Dana Ninkham | Behavior Technician | 1922 The Alameda Suite 425, San Jose, CA 95126 | 2017-01-12 |
| 1811441199 | Cristina Morales Delgado | Community Health Worker | 1400 Parkmore Avenue, Suite 115, San Jose, CA 95126 | 2016-08-04 |
| 1053770123 | Felicia Nibungco | Marriage & Family Therapist | 1922 The Alameda Ste 326, San Jose, CA 95126 | 2016-02-18 |
| Find all providers in zip 95126 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507021 | Lucid Lane Providers, P.C. | Counselor | 3251 Place Du Jardin, Optional, San Jose, CA 95148-9514 | 2020-10-28 |
| 1700491800 | Sean Garcia | Counselor | 2959 Carrington Ct, San Jose, CA 95125-4882 | 2020-09-15 |
| 1659985240 | Meng Chang Licensed Marriage and Family Therapist | Counselor | 1174 Lincoln Ave Ste 8, San Jose, CA 95125-3029 | 2020-09-02 |
| 1932721115 | Ellen C Gagne | Counselor | 290 N 2nd St Ste 202, San Jose, CA 95112-4143 | 2020-05-11 |
| 1215566773 | Michelle L. Powers | Counselor | 2 N Market St Ste 500, San Jose, CA 95113-1211 | 2020-04-06 |
| 1841823069 | Ana Gabriella Marquez | Counselor | 298 Bernal Rd # A, San Jose, CA 95119-1809 | 2020-02-17 |
| 1063044741 | Alyssa N Thompson | Counselor | 423 Los Arboles St, San Jose, CA 95111-2344 | 2020-02-10 |
| 1336770288 | Genevieve Altwer | Counselor | 3150 Almaden Expy Ste 223, San Jose, CA 95118-1253 | 2020-01-29 |
| 1477183705 | Benjamin C Jensen | Counselor | 1366 Petal Way, San Jose, CA 95129-4722 | 2020-01-26 |
| 1659910529 | Fred Finch Youth Center | Counselor | 2625 Zanker Rd Ste 122, San Jose, CA 95134-2130 | 2019-12-24 |
| Find all providers in SAN JOSE | ||||
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| 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.