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LESLIE NICKENS LMFT
NPI 1083066708
Marriage & Family Therapist in Corona, CA

Active since July 06, 2016Opted out of Medicare · through Jan 4, 2028
160 W FOOTHILL PARKWAY STE 105 PMB 284, CORONA, CA 92882(949) 561-2116 Get Directions Write a Review

NPPES record last updated: December 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2024, Nov 6, 2020 (2 updates tracked since 2020).

About Leslie Nickens Lmft NPPES

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

LESLIE NICKENS LMFT (NPI 1083066708) is an individual marriage & family therapist in Corona, California, licensed in California (113583) and active in the NPI registry since July 2016. She has opted out of Medicare through January 4, 2028.

NPPES Registry Identity

NPI1083066708
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLESLIE NICKENSCredential: LMFT
Location Address160 W FOOTHILL PARKWAY STE 105 PMB 284Corona, CA 92882
Mailing Address160 W Foothill Pkwy Ste 105Corona, CA 92882-8545
Phone(949) 561-2116
Sole ProprietorYes
Enumeration DateJuly 6, 2016
Last NPPES UpdateDecember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 23, 2024
✔ NPI 1083066708 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 · 113583
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.
160 W FOOTHILL PARKWAY STE 105 PMB 284, Corona, CA 92882
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Leslie Nickens Lmft 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 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Leslie Nickens's NPI number?

The NPI number for Leslie Nickens is 1083066708. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Leslie Nickens located?

Leslie Nickens practices at 160 W Foothill Parkway Ste 105 Pmb 284, Corona, CA 92882. The listed phone number is (949) 561-2116.

What is Leslie Nickens's specialty?

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

Is Leslie Nickens enrolled in Medicare?

No. Leslie Nickens has opted out of Medicare through January 4, 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 Leslie Nickens was last updated on December 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.