NICOLE MARIE LEONARD MFT
NPI 1861897142
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Nicole Leonard's NPI number?

The NPI number for Nicole Leonard is 1861897142. It was assigned to this individual provider in the NPPES registry on October 29, 2014.

Q: What is Nicole Leonard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Leonard was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 29, 2014PECOS Enrolled

401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 535-7280(170) 725-5371 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2024, Jan 3, 2022 (2 updates tracked since 2022).

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About Nicole Marie Leonard Mft NPPES

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

NICOLE MARIE LEONARD MFT (NPI 1861897142) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (104472) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861897142

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameNICOLE MARIE LEONARDCredential: MFT

Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149

Mailing Address401 Bicentennial WaySanta Rosa, CA 95403-2149 · (707) 535-7280 · Fax (170) 725-5371

Phone(707) 535-7280

Fax(170) 725-5371

Sole ProprietorNo

Enumeration DateOctober 29, 2014

Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration

NPPES CertifiedMarch 5, 2024

✔ NPI 1861897142 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 · 104472

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.

401 BICENTENNIAL WAY, Santa Rosa, CA 95403

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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 Marie Leonard Mft 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 20

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

MS. JESSICA ANNE RUTLAND R.D.

Dietitian, Registered

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4787

KURT FALKENBERG P.T.

Physical Therapist

401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403

Sonoma County (707) 571-3352

DELILAH PATTERSON CRNA

Nurse Anesthetist, Certified Registered

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4616

KRISZTINA J. BALAZS MD

Pediatrics

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4000

JOHN F. KUNKEL MD

Pathology (Anatomic Pathology)

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-4000

CRISTINA COREY SCHROEN LCSW

Social Worker (Clinical)

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 571-2536

JIE GIOK RAHARDJA PHARMD

Pharmacist

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (707) 393-4652

CONOR WILLIAM BOWMAN PHARM.D.

Pharmacist

401 BICENTENNIAL WAY
SANTA ROSA, CA 95403

Sonoma County (818) 522-1238

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 Leonard's NPI number?

The NPI number for Nicole Leonard is 1861897142. It was assigned to this individual provider in the NPPES registry on October 29, 2014.

Where is Nicole Leonard located?

Nicole Leonard practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 535-7280.

What is Nicole Leonard's specialty?

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

Is Nicole Leonard enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Leonard was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.