NICOLE E WILLIAMS M.A., LMFT
NPI 1962687491
Marriage & Family Therapist in San Luis Obispo, CA
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.
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 E Williams M.a., Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95054
- Reassigned Medicare billing, California enrollment
- 1,607 clinicians in this Medicare group
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 20
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 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.
Where is Nicole Williams located?
Nicole Williams practices at 784 High St, San Luis Obispo, CA 93401. The listed phone number is (805) 503-3502.
What is Nicole Williams's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Nicole Williams enrolled in Medicare?
Yes. Nicole Williams is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Williams's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Williams reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, 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 Williams'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 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.
# Nicole E Williams, M.A., LMFT · NPI 1962687491
Marriage & Family Therapist provider in San Luis Obispo, California. Individual provider, active in the CMS NPPES registry since January 3, 2008.
## Identity
- **NPI:** 1962687491 (Entity type: Individual)
- **Enumerated:** January 3, 2008
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 115146 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 784 HIGH ST, San Luis Obispo, CA 93401-5243
- **Phone:** (805) 503-3502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sud Specialty Group - Ca (NPI 1972138238, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1962687491) · Data from the CMS NPPES public registry.