NICOLE JOHNSON LMFT, CSAT
NPI 1235505306
Marriage & Family Therapist in Modesto, CA
About Nicole Johnson Lmft, Csat NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE JOHNSON LMFT, CSAT (NPI 1235505306) is an individual marriage & family therapist in Modesto, California, licensed in California (108746) and active in the NPI registry since August 2015. She has opted out of Medicare through June 8, 2028.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Nicole Johnson Lmft, Csat 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 June 8, 2024 through June 8, 2028.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MODESTO, CA 95355
MODESTO, CA 95355
MODESTO, CA 95355
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 Johnson's NPI number?
The NPI number for Nicole Johnson is 1235505306. It was assigned to this individual provider in the NPPES registry on August 12, 2015.
Where is Nicole Johnson located?
Nicole Johnson practices at 803 Coffee Rd Ste 11, Modesto, CA 95355. The listed phone number is (510) 892-9812.
What is Nicole Johnson's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Nicole Johnson enrolled in Medicare?
No. Nicole Johnson has opted out of Medicare through June 8, 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 Nicole Johnson was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nicole Johnson, LMFT, CSAT · NPI 1235505306
Marriage & Family Therapist provider in Modesto, California. Individual provider, active in the CMS NPPES registry since August 12, 2015.
## Identity
- **NPI:** 1235505306 (Entity type: Individual)
- **Enumerated:** August 12, 2015
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 108746 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 803 COFFEE RD STE 11, Modesto, CA 95355-4244
- **Phone:** (510) 892-9812
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 8, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 16, 2024
- **Other identifiers:** Other 108746 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1235505306) · Data from the CMS NPPES public registry.