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MRS. JENNIFER NIELSON
NPI 1396173555
Counselor - Mental Health in Lakeport, CA

Active since October 28, 2013
1711 MELLOR DR, LAKEPORT, CA 95453(707) 245-9472(707) 279-8564 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jennifer Nielson NPPES

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

MRS. JENNIFER NIELSON (NPI 1396173555) is an individual mental health provider in Lakeport, California, licensed in California (105816) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1396173555
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JENNIFER NIELSON
Location Address1711 MELLOR DRLakeport, CA 95453-3413
Mailing Address1711 Mellor DrLakeport, CA 95453-3413 · (707) 263-8795 · Fax (707) 263-6561
Phone(707) 245-9472
Fax(707) 279-8564
Sole ProprietorYes
Enumeration DateOctober 28, 2013
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1396173555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 105816
1711 MELLOR DR, Lakeport, CA 95453
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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 Jennifer Nielson's NPI number?

The NPI number for Jennifer Nielson is 1396173555. It was assigned to this individual provider in the NPPES registry on October 28, 2013.

Where is Jennifer Nielson located?

Jennifer Nielson practices at 1711 Mellor Dr, Lakeport, CA 95453. The listed phone number is (707) 245-9472.

What is Jennifer Nielson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Nielson was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.