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

Q: 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.

Q: What is Jessica Nichols'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 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.

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: August 16, 2026.

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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.

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

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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)

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.

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

Peer Specialist