NICOLE E WILLIAMS M.A., LMFT
NPI 1962687491
Marriage & Family Therapist in San Luis Obispo, CA

Q: What is Nicole Williams's NPI number?

The NPI number for Nicole Williams is 1962687491. It was assigned to this individual provider in the NPPES registry on January 3, 2008.

Q: What is Nicole Williams'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 Williams was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 03, 2008PECOS Enrolled

784 HIGH ST, SAN LUIS OBISPO, CA 93401(805) 503-3502 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole E Williams M.a., Lmft NPPES

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

NICOLE E WILLIAMS M.A., LMFT (NPI 1962687491) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (115146) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1962687491

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameNICOLE E WILLIAMSCredential: M.A., LMFT

Location Address784 HIGH STSan Luis Obispo, CA 93401-5243

Mailing AddressPo Box 3420Shell Beach, CA 93448-3420 · (805) 904-9762

Phone(805) 503-3502

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 3, 2008

Last NPPES UpdateMay 21, 2021

NPPES CertifiedMarch 15, 2021

✔ NPI 1962687491 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 · 115146

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.

784 HIGH ST, San Luis Obispo, CA 93401

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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 E Williams M.a., Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810491529

PECOS Enrollment IDI20250916004713

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.

RAYMOND SAINT TAVAREZ

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