MRS. NICOLE ANN CLELLAND
NPI 1730542382
Marriage & Family Therapist in Lake Forest, CA
About Mrs. Nicole Ann Clelland NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE ANN CLELLAND (NPI 1730542382) is an individual marriage & family therapist in Lake Forest, California, licensed in California (101251) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mauldin.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Nicole Ann Clelland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Clelland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
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 Clelland's NPI number?
The NPI number for Nicole Clelland is 1730542382. It was assigned to this individual provider in the NPPES registry on March 31, 2016. The provider is also known as Nicole Ann Costa.
Where is Nicole Clelland located?
Nicole Clelland practices at 23832 Rockfield Blvd Ste 120, Lake Forest, CA 92630. The listed phone number is (949) 415-4489.
What is Nicole Clelland's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Nicole Clelland enrolled in Medicare?
Yes. Nicole Clelland is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Clelland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Clelland reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Clelland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Clelland accept?
Health plans from UnitedHealthcare list Nicole Clelland 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 Clelland was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Mrs. Nicole Ann Clelland · NPI 1730542382
Marriage & Family Therapist provider in Lake Forest, California. Individual provider, active in the CMS NPPES registry since March 31, 2016.
## Identity
- **NPI:** 1730542382 (Entity type: Individual)
- **Enumerated:** March 31, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 101251 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 23832 ROCKFIELD BLVD STE 120, Lake Forest, CA 92630-2870
- **Phone:** (949) 415-4489
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1730542382) · Data from the CMS NPPES public registry.