NICOLE LEA
NPI 1750966560
Counselor - Mental Health in Petaluma, CA

Active since March 12, 2021
700 BANTAM WAY, PETALUMA, CA 94952(707) 778-4724 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Lea NPPES

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

NICOLE LEA (NPI 1750966560) is an individual mental health provider in Petaluma, California and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1750966560
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE LEA
Location Address700 BANTAM WAYPetaluma, CA 94952-1709
Mailing Address96 Laurel DrFairfax, CA 94930-2144 · (818) 795-0794
Sole ProprietorYes
Enumeration DateMarch 12, 2021
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1750966560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedArt TherapistTaxonomy 221700000X
700 BANTAM WAY, Petaluma, CA 94952

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
700 BANTAM WAY
PETALUMA, CA 94952

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 Lea's NPI number?

The NPI number for Nicole Lea is 1750966560. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Where is Nicole Lea located?

Nicole Lea practices at 700 Bantam Way, Petaluma, CA 94952. The listed phone number is (707) 778-4724.

What is Nicole Lea's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Lea was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.