NICOLE MARIE HERVEY
NPI 1073069746
Marriage & Family Therapist in Fairfield, CA

Active since August 31, 2016PECOS Enrolled
2101 COURAGE DR, FAIRFIELD, CA 94533(707) 784-4900 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2023, Jan 27, 2022, Dec 20, 2021 and 1 more (4 updates tracked since 2016).

About Nicole Marie Hervey NPPES

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

NICOLE MARIE HERVEY (NPI 1073069746) is an individual marriage & family therapist in Fairfield, California, licensed in California (129419) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073069746
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE MARIE HERVEY
Location Address2101 COURAGE DRFairfield, CA 94533-6717
Mailing Address2101 Courage DrFairfield, CA 94533-6717 · (707) 784-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 31, 2016
Last NPPES UpdateNovember 17, 20234 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
✔ NPI 1073069746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 129419
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2101 COURAGE DR, Fairfield, CA 94533

Secondary Practice Locations 2

Location 12702 Clayton RdConcord, CA 94519-2789 · Phone (925) 798-9240
Location 2908 Tuolumne StVallejo, CA 94590 · Phone (707) 648-8121

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Marie Hervey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507325016
PECOS Enrollment IDI20260825005069
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Hervey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Federally Qualified Health Center (FQHC)
2201 COURAGE DRIVE
Fairfield, CA 94533
  • Reassigned Medicare billing, California enrollment
  • 73 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR, MS-10-200
FAIRFIELD, CA 94533
Registered Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Registered Nurse (Psychiatric/Mental Health)
2101 COURAGE DR
FAIRFIELD, CA 94533
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Adult Companion
2101 COURAGE DR
FAIRFIELD, CA 94533
Social Worker (Clinical)
2101 COURAGE DR
FAIRFIELD, CA 94533
Licensed Vocational Nurse
2101 COURAGE DR
FAIRFIELD, CA 94533
Marriage & Family Therapist
2101 COURAGE DR
FAIRFIELD, CA 94533

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 Hervey's NPI number?

The NPI number for Nicole Hervey is 1073069746. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Nicole Hervey located?

Nicole Hervey practices at 2101 Courage Dr, Fairfield, CA 94533. The listed phone number is (707) 784-4900.

What is Nicole Hervey's specialty?

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

Is Nicole Hervey enrolled in Medicare?

Yes. Nicole Hervey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Hervey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Hervey reassigns Medicare benefits to County Of Solano (Fairfield, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Hervey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Hervey was last updated on November 17, 2023. 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.