LETTY CAIN NISSAN LMFT
NPI 1104337831
Marriage & Family Therapist in San Diego, CA

Q: What is Letty Cain Nissan's NPI number?

The NPI number for Letty Cain Nissan is 1104337831. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Q: What is Letty Cain Nissan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Letty Cain Nissan was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 20, 2017PECOS Enrolled

12264 EL CAMINO REAL STE 203, SAN DIEGO, CA 92130(858) 279-1223 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2025, Jul 22, 2024, Jan 27, 2022 and 1 more (4 updates tracked since 2017).

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About Letty Cain Nissan Lmft NPPES

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

LETTY CAIN NISSAN LMFT (NPI 1104337831) is an individual marriage & family therapist in San Diego, California, licensed in California (122461) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1104337831

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameLETTY CAIN NISSANCredential: LMFT

Location Address12264 EL CAMINO REAL STE 203San Diego, CA 92130-3061

Mailing Address12264 El Camino Real Ste 203San Diego, CA 92130-3061

Phone(858) 279-1223

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateOctober 20, 2017

Last NPPES UpdateFebruary 26, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2025

✔ NPI 1104337831 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 · 122461

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.

12264 EL CAMINO REAL STE 203, San Diego, CA 92130

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Letty Cain Nissan Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719424092

PECOS Enrollment IDI20240805001093

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 9

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

AL ALAM M.D.

Psychiatry & Neurology (Psychiatry)