Nicolyn Trevino, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

118452 Issued in CA

Practice address

644 Pollasky Ave Ste 203
Clovis, CA 93612-1883

Phone

(559) 387-4123

NPI assigned

May 28, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zimmerman Therapy Group

  • Marriage & Family Therapist
  • Clovis, CA
  • NPI 1689297475
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1013531771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 POLLASKY AVE STE 203",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 POLLASKY AVE STE 203",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121883",
            "telephone_number": "559-387-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "NICOLYN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trang Tran
• Kimberly Trejo, LCSW
• Priscilla Rose Trejo
• Adriana Tremillo
• Crystal Darleen Trevino
• Tri-Core Home Care, LLC
• Jill Jaeck Triana
• Maggie Trinh
• Trio Dialogue
• True North Detox LLC

• Marriage & Family Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.