DR. STACEY L NICKLAS PSY.D, LMFT
NPI 1013475219
Marriage & Family Therapist in Los Angeles, CA

Q: What is Stacey Nicklas's NPI number?

The NPI number for Stacey Nicklas is 1013475219. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Q: What is Stacey Nicklas's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Nicklas was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 06, 2019

2999 OVERLAND AVE STE 217, LOS ANGELES, CA 90064(310) 271-8787 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Stacey L Nicklas Psy.d, Lmft NPPES

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

DR. STACEY L NICKLAS PSY.D, LMFT (NPI 1013475219) is an individual marriage & family therapist in Los Angeles, California, licensed in California (35768) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1013475219

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. STACEY L NICKLASCredential: PSY.D, LMFT

Location Address2999 OVERLAND AVE STE 217Los Angeles, CA 90064-4243

Mailing Address2999 Overland Ave Ste 217Los Angeles, CA 90064-4243 · (310) 271-8787

Phone(310) 271-8787

Sole ProprietorYes

Enumeration DateMarch 6, 2019

✔ NPI 1013475219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 35768

Definition

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.

2999 OVERLAND AVE STE 217, Los Angeles, CA 90064

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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 Stacey Nicklas's NPI number?

The NPI number for Stacey Nicklas is 1013475219. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Where is Stacey Nicklas located?

Stacey Nicklas practices at 2999 Overland Ave Ste 217, Los Angeles, CA 90064. The listed phone number is (310) 271-8787.

What is Stacey Nicklas's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Stacey Nicklas was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.