NICOLE LEE DOLAN PHD LFMT
NPI 1922465657
Marriage & Family Therapist in Pismo Beach, CA
About Nicole Lee Dolan Phd Lfmt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LEE DOLAN PHD LFMT (NPI 1922465657) is an individual marriage & family therapist in Pismo Beach, California, licensed in California (87662) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Lee Dolan Phd Lfmt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Dolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pismo Beach, CA 93449
- Reassigned Medicare billing, California enrollment
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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dolan's NPI number?
The NPI number for Nicole Dolan is 1922465657. It was assigned to this individual provider in the NPPES registry on January 26, 2016.
Where is Nicole Dolan located?
Nicole Dolan practices at 1390 Price St, Pismo Beach, CA 93449. The listed phone number is (805) 608-8824.
What is Nicole Dolan's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Nicole Dolan enrolled in Medicare?
Yes. Nicole Dolan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Dolan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Dolan reassigns Medicare benefits to Sacred Path (Pismo Beach, 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 Dolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Dolan was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Nicole Lee Dolan, PHD LFMT · NPI 1922465657
Marriage & Family Therapist provider in Pismo Beach, California. Individual provider, active in the CMS NPPES registry since January 26, 2016.
## Identity
- **NPI:** 1922465657 (Entity type: Individual)
- **Enumerated:** January 26, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 87662 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1390 PRICE ST, Pismo Beach, CA 93449-2218
- **Phone:** (805) 608-8824
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sacred Path (NPI 1316671258, Pismo Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922465657) · Data from the CMS NPPES public registry.