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NICOLE J KALLAS
NPI 1326591777
Marriage & Family Therapist in Berkeley, CA

Active since August 02, 2016PECOS Enrolled
2222 BANCROFT WAY FL 3, BERKELEY, CA 94720(510) 642-9494 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nicole J Kallas NPPES

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

NICOLE J KALLAS (NPI 1326591777) is an individual marriage & family therapist in Berkeley, California, licensed in California (129667) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326591777
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE J KALLAS
Location Address2222 BANCROFT WAY FL 3Berkeley, CA 94720-4301
Mailing Address1246 Walker Ave Apt 204Walnut Creek, CA 94596-4835
Phone(510) 642-9494
Sole ProprietorNo
Enumeration DateAugust 2, 2016
Last NPPES UpdateMarch 30, 2023
NPPES CertifiedMarch 30, 2023
✔ NPI 1326591777 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 · 129667
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2222 BANCROFT WAY FL 3, Berkeley, CA 94720
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole J Kallas 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 Nicole Kallas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
7.2 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

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 2

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

MS. KATE ELLEN MESSINGER MS COUNSELING
Student in an Organized Health Care Education/Training Program
2222 BANCROFT WAY FL 3
BERKELEY, CA 94720
Alameda County (510) 642-9494
ELIZABETH KUSIN
Student in an Organized Health Care Education/Training Program
2222 BANCROFT WAY FL 3
BERKELEY, CA 94720
Alameda County (510) 642-9494

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 Kallas's NPI number?

The NPI number for Nicole Kallas is 1326591777. It was assigned to this individual provider in the NPPES registry on August 2, 2016.

Where is Nicole Kallas located?

Nicole Kallas practices at 2222 Bancroft Way Fl 3, Berkeley, CA 94720. The listed phone number is (510) 642-9494.

What is Nicole Kallas's specialty?

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

Is Nicole Kallas enrolled in Medicare?

Yes. Nicole Kallas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Kallas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kallas reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Nicole Kallas'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 Nicole Kallas was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.