RAZALYN DYAN NICKOLA MFT ASSOCIATE
NPI 1780233650
Counselor in Dublin, CA

Q: What is Razalyn Nickola's NPI number?

The NPI number for Razalyn Nickola is 1780233650. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Q: What is Razalyn Nickola's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Razalyn Nickola was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 04, 2019PECOS Enrolled

5325 BRODER BLVD, DUBLIN, CA 94568(925) 803-7221 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Sep 4, 2019 (2 updates tracked since 2019).

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About Razalyn Dyan Nickola Mft Associate NPPES

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

RAZALYN DYAN NICKOLA MFT ASSOCIATE (NPI 1780233650) is an individual counselor in Dublin, California and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780233650

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameRAZALYN DYAN NICKOLACredential: MFT ASSOCIATE

Location Address5325 BRODER BLVDDublin, CA 94568-3309

Mailing Address2441 Doidge AvePinole, CA 94564-1008 · (510) 708-9886

Phone(925) 803-7221

Sole ProprietorYes

Enumeration DateSeptember 4, 2019

Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration

✔ NPI 1780233650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

5325 BRODER BLVD, Dublin, CA 94568

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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)

Razalyn Dyan Nickola Mft Associate 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.

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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.

ANTOINETTE TAYLOR

Social Worker (Clinical)