NICOLE LEE DOUGLAS ASSOCIATE MFT
NPI 1154956829
Counselor - Mental Health in Santa Rosa, CA

Active since March 03, 2020
3434 MENDOCINO AVE # A, SANTA ROSA, CA 95403(707) 284-1978 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Lee Douglas Associate Mft NPPES

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

NICOLE LEE DOUGLAS ASSOCIATE MFT (NPI 1154956829) is an individual mental health provider in Santa Rosa, California, licensed in California (112167) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1154956829
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE LEE DOUGLASCredential: ASSOCIATE MFT
Location Address3434 MENDOCINO AVE # ASanta Rosa, CA 95403-2274
Mailing Address1757 Avila Ranch DrPetaluma, CA 94954-8522 · (415) 823-8647
Sole ProprietorNo
Enumeration DateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
NPI 1154956829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · 112167
3434 MENDOCINO AVE # A, Santa Rosa, CA 95403

Other Providers at the Same Location NPPES 8

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

Counselor (Professional)
3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
Marriage & Family Therapist
3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
Counselor (Mental Health)
3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
Marriage & Family Therapist
3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
Social Worker
3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
Marriage & Family Therapist
3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
Counselor (Mental Health)
3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
Community/Behavioral Health
3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403

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 Douglas's NPI number?

The NPI number for Nicole Douglas is 1154956829. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Nicole Douglas located?

Nicole Douglas practices at 3434 Mendocino Ave # A, Santa Rosa, CA 95403. The listed phone number is (707) 284-1978.

What is Nicole Douglas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Douglas was last updated on March 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.