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NICOLE LYNN NISHIMURA
NPI 1710445002
Marriage & Family Therapist in Anaheim, CA

Active since March 06, 2019PECOS Enrolled
451 W LINCOLN AVE STE 100, ANAHEIM, CA 92805(657) 217-6953 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2021, Jan 22, 2021, Apr 21, 2020 and 2 more (5 updates tracked since 2019).

About Nicole Lynn Nishimura NPPES

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

NICOLE LYNN NISHIMURA (NPI 1710445002) is an individual marriage & family therapist in Anaheim, California, licensed in California (122236) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710445002
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE LYNN NISHIMURA
Location Address451 W LINCOLN AVE STE 100Anaheim, CA 92805-2912
Mailing Address451 W Lincoln Ave Ste 100Anaheim, CA 92805-2912
Phone(657) 217-6953
Sole ProprietorYes
Enumeration DateMarch 6, 2019
Last NPPES UpdateMay 6, 20215 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1710445002 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 · 122236
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.
451 W LINCOLN AVE STE 100, Anaheim, CA 92805
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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)

Nicole Lynn Nishimura 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 12

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

KCS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 503-6550
DR. JENNIFER P LARSON MD
Family Medicine
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 503-6550
DR. QUOC TRAN PHAM DNP
Nurse Practitioner (Family)
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 527-6561
KCS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 503-6550
MS. ANGELA MARY ARNOLD LMFT- CADCII,
Marriage & Family Therapist
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 503-6550
KCS, INC.
Community/Behavioral Health
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (704) 503-6550
ANDY WING HONG LO FNP-C
Nurse Practitioner (Family)
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (415) 806-3488
CECILIA HILDA HUANG MD
Family Medicine
451 W LINCOLN AVE STE 100
ANAHEIM, CA 92805
Orange County (714) 503-6550

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 Nishimura's NPI number?

The NPI number for Nicole Nishimura is 1710445002. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Where is Nicole Nishimura located?

Nicole Nishimura practices at 451 W Lincoln Ave Ste 100, Anaheim, CA 92805. The listed phone number is (657) 217-6953.

What is Nicole Nishimura's specialty?

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

Is Nicole Nishimura enrolled in Medicare?

Yes. Nicole Nishimura is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Nishimura was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.