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NICOLE ANN KINDLE
NPI 1417598442
Marriage & Family Therapist in Gardena, CA

Active since October 01, 2019PECOS EnrolledAccepts Medicare Assignment
879 W 190TH ST STE 300, GARDENA, CA 90248(310) 892-3490 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2024, Jun 15, 2021, Apr 9, 2020 and 2 more (5 updates tracked since 2019).

About Nicole Ann Kindle NPPES

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

NICOLE ANN KINDLE (NPI 1417598442) is an individual marriage & family therapist in Gardena, California, licensed in California (143944) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417598442
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE ANN KINDLE
Location Address879 W 190TH ST STE 300Gardena, CA 90248-4223
Mailing Address879 W 190th St Ste 300Gardena, CA 90248-4223 · (310) 892-3490
Phone(310) 892-3490
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 1, 2019
Last NPPES UpdateJanuary 5, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1417598442 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
Licenses✔ Licensed in CA · 143944✔ Licensed in CA · 117172
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 · Mental HealthTaxonomy 101YM0800X · License 117172 (CA)
879 W 190TH ST STE 300, Gardena, CA 90248
Open in Google Maps ↗

Secondary Practice Locations 2

Location 119401 S Vermont Ave # L-102Torrance, CA 90502-1029 · Phone (310) 323-6887 ext. 885
Location 25311 S Western AveLos Angeles, CA 90062-2703 · Phone (323) 570-0445

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Ann Kindle is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901373943
PECOS Enrollment IDI20260427002619
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 Kindle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Special Service For Groups, Inc.
Same address
Mental Health (Including Community Mental Health Center)
879 W 190TH ST, SUITES 320 350 360 380 390
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 131 clinicians in this Medicare group
NPI 1669503629 (310) 323-6887

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 20

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

JULIA FRIEDMAN
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 300
GARDENA, CA 90248
Los Angeles County (310) 323-6887
KAREN WEDEKIND
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 300
GARDENA, CA 90248
Los Angeles County (310) 323-6887
PATRICE ROGERS
Day Training/Habilitation Specialist
879 W 190TH ST STE 300
GARDENA, CA 90248
Los Angeles County (310) 323-6887
DENISE GONZALEZ
Social Worker (Clinical)
879 W 190TH ST STE 300
GARDENA, CA 90248
Los Angeles County (310) 323-6887
AXEL STA MARIA
Occupational Therapist
879 W 190TH ST STE 300
GARDENA, CA 90248
Los Angeles County (310) 323-6887
SOPHIA BORDENAVE
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 300
GARDENA, CA 90248
Los Angeles County (310) 323-6887
TAILYR MONETTE
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 300
GARDENA, CA 90248
Los Angeles County (310) 323-6887
MELANIE TRUONG
Student in an Organized Health Care Education/Training Program
879 W 190TH ST STE 300
GARDENA, CA 90248
Los Angeles County (310) 323-6887

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 Kindle's NPI number?

The NPI number for Nicole Kindle is 1417598442. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Nicole Kindle located?

Nicole Kindle practices at 879 W 190th St Ste 300, Gardena, CA 90248. The listed phone number is (310) 892-3490.

What is Nicole Kindle's specialty?

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

Is Nicole Kindle enrolled in Medicare?

Yes. Nicole Kindle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Kindle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Kindle reassigns Medicare benefits to Special Service For Groups, Inc. (Gardena, 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 Kindle'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 Kindle was last updated on January 5, 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.