NICOLE STANKO
NPI 1043918261
Counselor - Mental Health in San Diego, CA

Active since February 16, 2023Opted out of Medicare · through Mar 24, 2028
5755 OBERLIN DR STE 106, SAN DIEGO, CA 92121(619) 330-9500 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2023, Feb 16, 2023 (2 updates tracked since 2023).

About Nicole Stanko NPPES

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

NICOLE STANKO (NPI 1043918261) is an individual mental health provider in San Diego, California and active in the NPI registry since February 2023. She has opted out of Medicare through March 24, 2028.

NPPES Registry Identity

NPI1043918261
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE STANKO
Location Address5755 OBERLIN DR STE 106San Diego, CA 92121-4715
Mailing Address5755 Oberlin Dr Ste 106San Diego, CA 92121-4715 · (619) 330-9500
Sole ProprietorYes
Enumeration DateFebruary 16, 2023
Last NPPES UpdateMay 3, 20232 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
NPI 1043918261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5755 OBERLIN DR STE 106, San Diego, CA 92121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nicole Stanko has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 24, 2026 through March 24, 2028.

Opt-Out Effective DateMarch 24, 2026
Opt-Out In Effect ThroughMarch 24, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
5755 OBERLIN DR STE 106
SAN DIEGO, CA 92121
Marriage & Family Therapist
5755 OBERLIN DR STE 106
SAN DIEGO, CA 92121
Marriage & Family Therapist
5755 OBERLIN DR STE 106
SAN DIEGO, CA 92121

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 Nicole Stanko's NPI number?

The NPI number for Nicole Stanko is 1043918261. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Nicole Stanko located?

Nicole Stanko practices at 5755 Oberlin Dr Ste 106, San Diego, CA 92121. The listed phone number is (619) 330-9500.

What is Nicole Stanko's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Stanko enrolled in Medicare?

No. Nicole Stanko has opted out of Medicare through March 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicole Stanko was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.