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NICOLE LEANN BRAVO B.S, MFT TRAINEE
NPI 1366902504
Marriage & Family Therapist in Santa Monica, CA

Active since March 22, 2019
2716 OCEAN PARK BLVD STE 3075, SANTA MONICA, CA 90405(310) 612-2998 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2021, Mar 22, 2019 (2 updates tracked since 2019).

About Nicole Leann Bravo B.s, Mft Trainee NPPES

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

NICOLE LEANN BRAVO B.S, MFT TRAINEE (NPI 1366902504) is an individual marriage & family therapist in Santa Monica, California, licensed in California (122703) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1366902504
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE LEANN BRAVOCredential: B.S, MFT TRAINEE
Location Address2716 OCEAN PARK BLVD STE 3075Santa Monica, CA 90405-5232
Mailing Address1630 Acacia AveTorrance, CA 90501-3114 · (310) 561-5545
Phone(310) 612-2998
Sole ProprietorYes
Enumeration DateMarch 22, 2019
Last NPPES UpdateJune 29, 20212 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
✔ NPI 1366902504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 122703
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.
2716 OCEAN PARK BLVD STE 3075, Santa Monica, CA 90405
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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.

AMIT ROZEN
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
ANNA KLARA MAJOR LMFT
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (424) 262-0382
TRACY KOVACS BEVINGTON MA, MFT
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
KRISTINA FYRWALD ACSW
Social Worker (Clinical)
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
JACOB JUNG HOON KAJIWARA MS, AMFT
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
PAUL MICHAEL CARTER
Counselor (Mental Health)
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
ALICE KUHNS MA, AMFT
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998
MELISSA WILHELMINA COOPER AMFT
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Los Angeles County (310) 612-2998

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 Bravo's NPI number?

The NPI number for Nicole Bravo is 1366902504. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Nicole Bravo located?

Nicole Bravo practices at 2716 Ocean Park Blvd Ste 3075, Santa Monica, CA 90405. The listed phone number is (310) 612-2998.

What is Nicole Bravo's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Bravo was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.