Active NPI
Nicole Leona Sallee, LPC LPCC
- Professional Counselor
- San Bernardino, CA
National Provider Identifier
1003447236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20768
- Practice address
- 900 E Gilbert St
San Bernardino, CA 92415-0026 - Phone
- (909) 387-7406
- NPI assigned
- Jan 27, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 79681 | TX | |
| Professional Counselor | 101YP2500X | 20768 | CA | Primary |
Addresses
Primary practice location
900 E Gilbert St
San Bernardino, CA 92415-0026
Mailing address
17062 Ocotilla Rd
Apple Valley, CA 92307-6953
Phone (682) 239-9872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79681 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1003447236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17062 OCOTILLA RD",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923076953",
"telephone_number": "682-239-9872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E GILBERT ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924150026",
"telephone_number": "909-387-7406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLEE",
"first_name": "NICOLE",
"middle_name": "LEONA",
"credential": "LPC LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "79681",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "20768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.