Active NPI
Nicki A Bywater, LMFT
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1144313651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC39487
- Practice address
- 5790 Magnolia Ave #202
Riverside, CA 92506 - Phone
- (951) 858-4999
- Fax
- (951) 682-0519
- NPI assigned
- Oct 2, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 203676 | TX | |
| Marriage & Family Therapist | 106H00000X | MFC39487 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 14229134-3902 | UT |
Addresses
Primary practice location
5790 Magnolia Ave #202
Riverside, CA 92506
Mailing address
16520 Wagon Wheel Dr
Riverside, CA 92505
Phone (951) 858-4999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC39487 | CA | MD | Marriage & Family Therapist |
| 14229134-3902 | UT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1144313651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16520 WAGON WHEEL DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92505",
"telephone_number": "951-858-4999",
"fax_number": "951-787-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5790 MAGNOLIA AVE #202",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92506",
"telephone_number": "951-858-4999",
"fax_number": "951-682-0519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYWATER",
"first_name": "NICKI",
"middle_name": "A",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203676",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC39487",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "14229134-3902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.