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JESSICA ROSE NICHOLS
NPI 1205000379
Marriage & Family Therapist in Santa Cruz, CA

Active since April 18, 2008PECOS Enrolled
200 7TH AVE STE 150, SANTA CRUZ, CA 95062(831) 462-1060(831) 462-4970 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Rose Nichols NPPES

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

JESSICA ROSE NICHOLS (NPI 1205000379) is an individual marriage & family therapist in Santa Cruz, California, licensed in California (85023) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Cruz.

NPPES Registry Identity

NPI1205000379
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJESSICA ROSE NICHOLS
Location Address200 7TH AVE STE 150Santa Cruz, CA 95062-4669
Mailing Address200 7th Ave Ste 150Santa Cruz, CA 95062-4669 · (831) 462-1060
Phone(831) 462-1060
Fax(831) 462-4970
Sole ProprietorNo
Enumeration DateApril 18, 2008
Last NPPES UpdateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
✔ NPI 1205000379 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 · 85023
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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
200 7TH AVE STE 150, Santa Cruz, CA 95062
Open in Google Maps ↗

Secondary Practice Location 1

Location 1812 Melrose AveSanta Cruz, CA 95062-1531 · Phone (831) 539-6681

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Rose Nichols is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jessica Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
26 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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.

CARMEN HERNANDEZ DE HORTA
Case Manager/Care Coordinator
200 7TH AVE STE 150
SANTA CRUZ, CA 95062
Santa Cruz County (831) 462-1060
MR. MIGUEL ANGEL ALAVAREZ RADT
Counselor (Addiction (Substance Use Disorder))
200 7TH AVE STE 150
SANTA CRUZ, CA 95062
Santa Cruz County (931) 462-1060
TREVOR WILLIAM BUCKLEY
Marriage & Family Therapist
200 7TH AVE STE 150
SANTA CRUZ, CA 95062
Santa Cruz County (831) 462-1060
VANESSA RENTERIA
Counselor (Addiction (Substance Use Disorder))
200 7TH AVE STE 150
SANTA CRUZ, CA 95062
Santa Cruz County (831) 462-1060
JEREMI FLOODMAN
Counselor (Addiction (Substance Use Disorder))
200 7TH AVE STE 150
SANTA CRUZ, CA 95062
Santa Cruz County (831) 462-1060
MARIA ESTHER ORTIZ-GUZMAN
Peer Specialist
200 7TH AVE STE 150
SANTA CRUZ, CA 95062
Santa Cruz County (831) 462-1060
KRISTEN NEWELL
Counselor (Addiction (Substance Use Disorder))
200 7TH AVE STE 150
SANTA CRUZ, CA 95062
Santa Cruz County (831) 462-1060
HIEDI ERICKSON RADT
Counselor (Addiction (Substance Use Disorder))
200 7TH AVE STE 150
SANTA CRUZ, CA 95062
Santa Cruz County (831) 460-1060

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 Jessica Nichols's NPI number?

The NPI number for Jessica Nichols is 1205000379. It was assigned to this individual provider in the NPPES registry on April 18, 2008.

Where is Jessica Nichols located?

Jessica Nichols practices at 200 7th Ave Ste 150, Santa Cruz, CA 95062. The listed phone number is (831) 462-1060.

What is Jessica Nichols's specialty?

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

Is Jessica Nichols enrolled in Medicare?

Yes. Jessica Nichols is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Nichols reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Jessica Nichols'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 Jessica Nichols was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.