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NICHOLAS WIGHTMAN M.A., LMFT
NPI 1487892444
Marriage & Family Therapist in Oakland, CA

Active since January 29, 2009Opted out of Medicare · through Jan 25, 2028
6355 TELEGRAPH AVE, SUITE 301, OAKLAND, CA 94609(510) 717-9957 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Wightman M.a., Lmft NPPES

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

NICHOLAS WIGHTMAN M.A., LMFT (NPI 1487892444) is an individual marriage & family therapist in Oakland, California, licensed in California (52065) and active in the NPI registry since January 2009. He has opted out of Medicare through January 25, 2028.

NPPES Registry Identity

NPI1487892444
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameNICHOLAS WIGHTMANCredential: M.A., LMFT
Location Address6355 TELEGRAPH AVE, SUITE 301Oakland, CA 94609-1371
Mailing Address6355 Telegraph Ave, Suite 301Oakland, CA 94609-1371 · (510) 717-9957
Phone(510) 717-9957
Sole ProprietorYes
Enumeration DateJanuary 29, 2009
Last NPPES UpdateMay 3, 2013
✔ NPI 1487892444 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 · 52065
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.
6355 TELEGRAPH AVE, Oakland, CA 94609
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Nicholas Wightman M.a., Lmft 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 25, 2024 through January 25, 2028.

Opt-Out Effective DateJanuary 25, 2024
Opt-Out In Effect ThroughJanuary 25, 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 12

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

MR. BRUCE D. KAMIN L.C.S.W.
Social Worker (Clinical)
6355 TELEGRAPH AVE, 305
OAKLAND, CA 94609
Alameda County (510) 290-5898
JERALDINE ROBERTSON MFT
Marriage & Family Therapist
6355 TELEGRAPH AVE, SUITE 309
OAKLAND, CA 94609
Alameda County (510) 282-4644
NAIMA C. HART MFT
Marriage & Family Therapist
6355 TELEGRAPH AVE, SUITE 308
OAKLAND, CA 94609
Alameda County (510) 333-5754
MS. HEATHER WHIPPLE CLAGUE M.D.
Psychiatry & Neurology (Psychiatry)
6355 TELEGRAPH AVE, SUIT 203
OAKLAND, CA 94609
Alameda County (519) 869-4999
DR. MELINDA GINNE PH.D.
Psychologist
6355 TELEGRAPH AVE, STE 302
OAKLAND, CA 94609
Alameda County (510) 752-8302
MS. BONNIE JEAN SERRANO MFT
Marriage & Family Therapist
6355 TELEGRAPH AVE, #303
OAKLAND, CA 94609
Alameda County (510) 594-4007
DR. MIMI WHEIPING LOU PH.D.
Psychologist (Clinical)
6355 TELEGRAPH AVE, SUITE 302
OAKLAND, CA 94609
Alameda County (510) 652-5910
MS. ANNE SAGEWOOD LMFT
Marriage & Family Therapist
6355 TELEGRAPH AVE, SUITE 305
OAKLAND, CA 94609
Alameda County (510) 469-9066

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 Nicholas Wightman's NPI number?

The NPI number for Nicholas Wightman is 1487892444. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Where is Nicholas Wightman located?

Nicholas Wightman practices at 6355 Telegraph Ave Suite 301, Oakland, CA 94609. The listed phone number is (510) 717-9957.

What is Nicholas Wightman's specialty?

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

Is Nicholas Wightman enrolled in Medicare?

No. Nicholas Wightman has opted out of Medicare through January 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicholas Wightman was last updated on May 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.