NICOLLE DANIELLE TISSOT - DESMARAIS
NPI 1053942714
Counselor - Mental Health in Lafayette, CA
About Nicolle Danielle Tissot - Desmarais NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLLE DANIELLE TISSOT - DESMARAIS (NPI 1053942714) is an individual mental health provider in Lafayette, California and active in the NPI registry since January 2020. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Nicolle Danielle Tissot - Desmarais 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 January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAFAYETTE, CA 94549
LAFAYETTE, CA 94549
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 Nicolle Tissot - Desmarais's NPI number?
The NPI number for Nicolle Tissot - Desmarais is 1053942714. It was assigned to this individual provider in the NPPES registry on January 31, 2020.
Where is Nicolle Tissot - Desmarais located?
Nicolle Tissot - Desmarais practices at 3468 Mt Diablo Blvd Ste B301, Lafayette, CA 94549. The listed phone number is (925) 297-5442.
What is Nicolle Tissot - Desmarais's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Nicolle Tissot - Desmarais enrolled in Medicare?
No. Nicolle Tissot - Desmarais has opted out of Medicare through January 1, 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 Nicolle Tissot - Desmarais was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nicolle Danielle Tissot - Desmarais · NPI 1053942714
Mental Health provider in Lafayette, California. Individual provider, active in the CMS NPPES registry since January 31, 2020.
## Identity
- **NPI:** 1053942714 (Entity type: Individual)
- **Enumerated:** January 31, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 3468 MT DIABLO BLVD STE B301, Lafayette, CA 94549-7101
- **Phone:** (925) 297-5442
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through January 1, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053942714) · Data from the CMS NPPES public registry.