NICOLE MARIE REILLY MD, LMFT
NPI 1912170598
Marriage & Family Therapist in Irvine, CA

Active since April 04, 2008Opted out of Medicare · through Oct 1, 2027
19712 MACARTHUR BLVD STE 110, IRVINE, CA 92612(949) 264-3325 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole Marie Reilly Md, Lmft NPPES

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

NICOLE MARIE REILLY MD, LMFT (NPI 1912170598) is an individual marriage & family therapist in Irvine, California, licensed in California (127642) and active in the NPI registry since April 2008. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1912170598
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameNICOLE MARIE REILLYCredential: MD, LMFT
Location Address19712 MACARTHUR BLVD STE 110Irvine, CA 92612-2407
Mailing Address19712 Macarthur Blvd Ste 110Irvine, CA 92612-2407 · (949) 264-3325
Sole ProprietorYes
Enumeration DateApril 4, 2008
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
NPI 1912170598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 127642
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.
Also ListedAnesthesiologyTaxonomy 207L00000X · License A98851 (CA)
19712 MACARTHUR BLVD STE 110, Irvine, CA 92612

Other Names 1

Former Name (1)Nicole Marie Wakim Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nicole Marie Reilly Md, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Marriage & Family Therapist
19712 MACARTHUR BLVD STE 110
IRVINE, CA 92612
Marriage & Family Therapist
19712 MACARTHUR BLVD STE 110
IRVINE, CA 92612
Social Worker (Clinical)
19712 MACARTHUR BLVD STE 110
IRVINE, CA 92612
Psychologist (Clinical)
19712 MACARTHUR BLVD STE 110
IRVINE, CA 92612
Marriage & Family Therapist
19712 MACARTHUR BLVD STE 110
IRVINE, CA 92612
Marriage & Family Therapist
19712 MACARTHUR BLVD STE 110
IRVINE, CA 92612
Psychologist (Clinical)
19712 MACARTHUR BLVD STE 110
IRVINE, CA 92612
Nurse Practitioner (Psychiatric/Mental Health)
19712 MACARTHUR BLVD STE 110
IRVINE, CA 92612

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 Reilly's NPI number?

The NPI number for Nicole Reilly is 1912170598. It was assigned to this individual provider in the NPPES registry on April 4, 2008. The provider is also known as Nicole Marie Wakim MD.

Where is Nicole Reilly located?

Nicole Reilly practices at 19712 Macarthur Blvd Ste 110, Irvine, CA 92612. The listed phone number is (949) 264-3325.

What is Nicole Reilly's specialty?

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

Is Nicole Reilly enrolled in Medicare?

No. Nicole Reilly has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nicole Reilly was last updated on December 18, 2023. 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.