NICOLE ANDERSON
NPI 1487056198
Marriage & Family Therapist in Tustin, CA

Active since September 24, 2014Opted out of Medicare · through Jan 1, 2028
14751 PLAZA DR STE E, TUSTIN, CA 92780(714) 342-7612 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018, Jan 17, 2018 and 2 more (5 updates tracked since 2017).

About Nicole Anderson NPPES

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

NICOLE ANDERSON (NPI 1487056198) is an individual marriage & family therapist in Tustin, California, licensed in California (99487) and active in the NPI registry since September 2014. She has opted out of Medicare through January 1, 2028 and maintains a secondary practice location in Anaheim.

NPPES Registry Identity

NPI1487056198
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE ANDERSON
Location Address14751 PLAZA DR STE ETustin, CA 92780-2773
Mailing Address360 E 1st St # 415Tustin, CA 92780-3211 · (714) 342-7612
Sole ProprietorYes
Enumeration DateSeptember 24, 2014
Last NPPES UpdateJune 16, 20185 updates tracked since enumeration
NPI 1487056198 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 · 99487
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.

14751 PLAZA DR STE E, Tustin, CA 92780

Secondary Practice Location 1

Location 1233 S Quintana DrAnaheim, CA 92807-4029 · Phone (510) 317-1444

Accepted Insurance

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 Anderson 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Marriage & Family Therapist
14751 PLAZA DR STE E
TUSTIN, CA 92780
Clinic/Center (Adult Mental Health)
14751 PLAZA DR STE E
TUSTIN, CA 92780

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 Anderson's NPI number?

The NPI number for Nicole Anderson is 1487056198. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Nicole Anderson located?

Nicole Anderson practices at 14751 Plaza Dr Ste E, Tustin, CA 92780. The listed phone number is (714) 342-7612.

What is Nicole Anderson's specialty?

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

Is Nicole Anderson enrolled in Medicare?

No. Nicole Anderson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nicole Anderson accept?

Health plans from Oscar Insurance Company list Nicole Anderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Anderson was last updated on June 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.