NICHOLE ROLLO LMFT
NPI 1609113109
Marriage & Family Therapist in Pasadena, CA

Active since January 03, 2013Opted out of Medicare · through Oct 3, 2027
572 E GREEN ST, STE 304, PASADENA, CA 91101(626) 344-7764 Get Directions Write a Review

NPPES record last updated: January 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nichole Rollo Lmft NPPES

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

NICHOLE ROLLO LMFT (NPI 1609113109) is an individual marriage & family therapist in Pasadena, California, licensed in California (52091) and active in the NPI registry since January 2013. She has opted out of Medicare through October 3, 2027.

NPPES Registry Identity

NPI1609113109
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICHOLE ROLLOCredential: LMFT
Location Address572 E GREEN ST, STE 304Pasadena, CA 91101-2045
Mailing Address828 Chapman AvePasadena, CA 91103-2924 · (626) 808-7633
Sole ProprietorYes
Enumeration DateJanuary 3, 2013
NPI 1609113109 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 · 52091
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.

572 E GREEN ST, Pasadena, CA 91101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Nichole Rollo 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 October 3, 2025 through October 3, 2027.

Opt-Out Effective DateOctober 3, 2025
Opt-Out In Effect ThroughOctober 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical)
572 E GREEN ST, SUITE 304
PASADENA, CA 91101
Dentist (Periodontics)
572 E GREEN ST, SUITE 205
PASADENA, CA 91101
Social Worker (Clinical)
572 E GREEN ST
PASADENA, CA 91101

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 Nichole Rollo's NPI number?

The NPI number for Nichole Rollo is 1609113109. It was assigned to this individual provider in the NPPES registry on January 3, 2013.

Where is Nichole Rollo located?

Nichole Rollo practices at 572 E Green St Ste 304, Pasadena, CA 91101. The listed phone number is (626) 344-7764.

What is Nichole Rollo's specialty?

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

Is Nichole Rollo enrolled in Medicare?

No. Nichole Rollo has opted out of Medicare through October 3, 2027. 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 Nichole Rollo was last updated on January 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.