1. Home
  2. Directory
  3. California
  4. Victorville
  5. Marriage Family Therapist
  6. NPI Profile

KIA NICHELLE
NPI 1083047195
Marriage & Family Therapist in Victorville, CA

Active since August 12, 2013PECOS EnrolledAccepts Medicare Assignment
12640 HESPERIA RD STE D, VICTORVILLE, CA 92395(760) 684-4143(760) 684-8111 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Dec 3, 2020, Jan 12, 2019 (3 updates tracked since 2019).

About Kia Nichelle NPPES

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

KIA NICHELLE (NPI 1083047195) is an individual marriage & family therapist in Victorville, California, licensed in California (IMF84576) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083047195
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKIA NICHELLE
Location Address12640 HESPERIA RD STE DVictorville, CA 92395-7753
Mailing Address12640 Hesperia Rd Ste DVictorville, CA 92395-7753 · (760) 684-4143 · Fax (760) 684-8111
Phone(760) 684-4143
Fax(760) 684-8111
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 12, 2013
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1083047195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · IMF84576
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 ListedContractorTaxonomy 171W00000X
12640 HESPERIA RD STE D, Victorville, CA 92395
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kia Nichelle is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557858131
PECOS Enrollment IDI20251016002496
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.

Other Providers at the Same Location NPPES 15

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

MS. FIJI SIMMONS FNP-BC
Nurse Practitioner (Family)
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
THY MINH PHAM RDN
Dietitian, Registered
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
VICKIE R ALEXANDER FNP-BC
Nurse Practitioner (Family)
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-8999
EMILY TRUONG DC
Chiropractor
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
CLAUDIA VILLIERME M.ED., M.F.T.
Marriage & Family Therapist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
DR. JAE SEOG PARK
Acupuncturist
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
LEXIE LUKER DC
Chiropractor
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143
TOBIAS MOELLER-BERTRAM MD CORPORATION
Durable Medical Equipment & Medical Supplies
12640 HESPERIA RD STE D
VICTORVILLE, CA 92395
San Bernardino County (760) 684-4143

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 Kia Nichelle's NPI number?

The NPI number for Kia Nichelle is 1083047195. It was assigned to this individual provider in the NPPES registry on August 12, 2013.

Where is Kia Nichelle located?

Kia Nichelle practices at 12640 Hesperia Rd Ste D, Victorville, CA 92395. The listed phone number is (760) 684-4143.

What is Kia Nichelle's specialty?

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

Is Kia Nichelle enrolled in Medicare?

Yes. Kia Nichelle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kia Nichelle accept?

Health plans from Providence Health Plan list Kia Nichelle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kia Nichelle was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.