Active NPI
Nicole Helene O'Brien, MA, LMFT
- Marriage & Family Therapist
- Sebastopol, CA
National Provider Identifier
1023328796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 80120
- Practice address
- 6914 Sebastopol Ave
Suite a
Sebastopol, CA 95472-3459 - Phone
- (707) 529-2910
- NPI assigned
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 80120 | CA | Primary |
Addresses
Primary practice location
6914 Sebastopol Ave
Suite a
Sebastopol, CA 95472-3459
Mailing address
6914 Sebastopol Ave
Suite a
Sebastopol, CA 95472-3459
Phone (707) 529-2910
Other names 1
- Nicole Helene Heumann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1023328796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6914 SEBASTOPOL AVE",
"address_2": "SUITE A",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723459",
"telephone_number": "707-529-2910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6914 SEBASTOPOL AVE",
"address_2": "SUITE A",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723459",
"telephone_number": "707-529-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "NICOLE",
"middle_name": "HELENE",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "80120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "HEUMANN",
"middle_name": "HELENE",
"credential": "MA, LMFT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Sebastopol, CA
- North Coast Faculty Medical Group Inc
- North Coast Faculty Medical Group Inc
- Northern California Medical Assoc Inc
- Northern California Medical Assoc Inc
- Flannery Norton, MA, PPS
- Caitlin O'Neill, RN, IBCLC
- Jasmine Oberste, M.S., L.AC.
- Lawrence Brian Oberstein
- Offsite Care, Inc
- Oreoluwa I Ogunyemi, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.