Individual provider Active NPI

Nicholas F. O'Madden

  • Mental Health Counselor
  • Gold River, CA
National Provider Identifier
1144582891
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3265 Issued in CA
Practice address
2377 Gold Meadow Way Ste 100
Gold River, CA 95670-4444
Phone
(916) 631-1976
Fax
(916) 631-1975
NPI assigned
Jun 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3265 CA Primary

Addresses

Primary practice location

2377 Gold Meadow Way Ste 100
Gold River, CA 95670-4444

Mailing address

2377 Gold Meadow Way Ste 100
Gold River, CA 95670-4444
Phone (760) 331-7553

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3265CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Humanistic Center for Clinical Counseling Mental Health Current Accepting new patients
Nfo Counseling, Licensed Professional Clinical Counselor, Apc Mental Health Current Accepting new patients

Locations

2377 Gold Meadow Way
Ste 100
Gold River, CA 95670
Phone (916) 213-6766

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1144582891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 GOLD MEADOW WAY STE 100",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704444",
            "telephone_number": "760-331-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 GOLD MEADOW WAY STE 100",
            "city": "GOLD RIVER",
            "state": "CA",
            "postal_code": "956704444",
            "telephone_number": "916-631-1976",
            "fax_number": "916-631-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MADDEN",
        "first_name": "NICHOLAS",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "3265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gold River, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.