Nicolle Danielle Tissot - Desmarais

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3468 Mt Diablo Blvd Ste B301
Lafayette, CA 94549-7101

Phone

(925) 297-5442

NPI assigned

Jan 31, 2020

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1053942714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD STE B301",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945497101",
            "telephone_number": "925-297-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 MT DIABLO BLVD STE B301",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945497101",
            "telephone_number": "925-297-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISSOT - DESMARAIS",
        "first_name": "NICOLLE",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Thompson
• Melissa Thompson, BCBA
• Sharron Yvonne Thompson
• Tiffany Lynn Thompson
• Mary Katherine Threlkel, MFT
• Dai To, PH.D.
• Nicole Elaine Toenjes, D.C.
• Rexy Tolentino
• Maha B Toma, M.D.
• Megan Toma, ATC, PHD

• Mental Health Counselor in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.

Verify at the official NPI Registry.