MICHELLE NICOLE ULLOA
NPI 1508341660
Marriage & Family Therapist in Eureka, CA

Q: What is Michelle Ulloa's NPI number?

The NPI number for Michelle Ulloa is 1508341660. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Q: What is Michelle Ulloa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michelle Ulloa was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 25, 2018PECOS Enrolled

3960 WALNUT DR, EUREKA, CA 95503(707) 268-8722(707) 268-0218 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2019, Sep 25, 2018 (2 updates tracked since 2018).

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About Michelle Nicole Ulloa NPPES

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

MICHELLE NICOLE ULLOA (NPI 1508341660) is an individual marriage & family therapist in Eureka, California, licensed in California (114781) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508341660

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMICHELLE NICOLE ULLOA

Location Address3960 WALNUT DREureka, CA 95503-8938

Mailing Address3960 Walnut DrEureka, CA 95503-8938 · (707) 268-8722 · Fax (707) 268-0218

Phone(707) 268-8722

Fax(707) 268-0218

Sole ProprietorNo

Enumeration DateSeptember 25, 2018

Last NPPES UpdateAugust 12, 20192 updates tracked since enumeration

✔ NPI 1508341660 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

License✔ Licensed in CA · 114781

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 ListedCounselorTaxonomy 101Y00000X

3960 WALNUT DR, Eureka, CA 95503

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Nicole Ulloa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

CHISANA WHITE

Case Manager/Care Coordinator