Kia Nichelle

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF84576 Issued in CA

Practice address

12640 Hesperia Rd Ste D
Victorville, CA 92395-7753

Phone

(760) 684-4143

Fax

(760) 684-8111

NPI assigned

Aug 12, 2013

Last updated

Mar 9, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tobias Moeller-Bertram MD CorporationGroup PAC ID 1456586064, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tobias Moeller-Bertram MD Corporation

  dba Lifekind Health

  • Pain Medicine (Anesthesiology) Physician
  • Rancho Mirage, CA
  • NPI 1922440684
  Medicare reassignment Care Compare group NPD
• Royal Dreams Family & Therapy Services

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1962138123
  NPD Authorized official
• Royal Dreams Marriage and Family Therapy Inc

  dba Royal Dreams Counseling

  • Marriage & Family Therapist
  • Murrieta, CA
  • NPI 1134847353
  NPD Authorized official
• Tobias Moeller-Bertram MD Corporation

  dba Lifekind Health

  • Durable Medical Equipment & Medical Supplies
  • Indio, CA
  • NPI 1861389199
  NPD

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1083047195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 HESPERIA RD STE D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957753",
            "telephone_number": "760-684-4143",
            "fax_number": "760-684-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 HESPERIA RD STE D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957753",
            "telephone_number": "760-684-4143",
            "fax_number": "760-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHELLE",
        "first_name": "KIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF84576",
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Nguyen
• Lien Kim Thi Nguyen, PHARMD
• Lynn Nguyen
• Nhu Ngoc Kieu Nguyen, PHARMD
• Thomas Thong Huu Nguyen, M.D.,
• Lynn Nickens, M.S.W., LCSW
• Sanaa Morgan Nikelson
• Nicci Niman-Creason
• Buster Lee Nix
• Jude Nnanna Njoku

• Marriage & Family Therapist in Victorville, CA
• Providers in Victorville, 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 Mar 9, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.