Individual provider Active NPI

Nicole Rane Cowan

  • Marriage & Family Therapist
  • Stockton, CA
National Provider Identifier
1144764390
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT156232 Issued in CA
Practice address
430 N Pilgrim St
Stockton, CA 95205-4428
Phone
(209) 466-0853
NPI assigned
Dec 7, 2016
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT156232 CA Primary

Addresses

Primary practice location

430 N Pilgrim St
Stockton, CA 95205-4428

Mailing address

430 N Pilgrim St
Stockton, CA 95205-4428
Phone (209) 466-0853

Other identifiers 1

IdentifierTypeStateIssuer
390200000XOtherCABEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250826005106 CA Practitioner - Marriage and Family Therapist 9638679293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Practice addresses (Care Compare)

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT156232CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Behavioral Health Services Marriage & Family Therapist Current Accepting new patients
County of San Joaquin CurrentSince Jul 6, 2025 Accepting new patients
Wellmind Online Ca Licensed Clinical Social Worker Prof Corp CurrentSince Aug 8, 2025 Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Jul 6, 2025 Accepting new patients

Locations

16501 Ventura Blvd
Encino, CA 91436
Phone (818) 356-8106

888 Prospect St
La Jolla, CA 92037
Phone (619) 804-0609

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

2100 Geng Rd
Ste 210
Palo Alto, CA 94303
Phone (650) 383-0279

980 9th St
Sacramento, CA 95814

95 3rd St
San Francisco, CA 94103
Phone (414) 640-9090

99 Almaden Blvd
San Jose, CA 95113
Phone (707) 641-6006

2450 Colorado Ave
Santa Monica, CA 90404

3558 Round Barn Blvd
Santa Rosa, CA 95403
Phone (707) 393-4000

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1144764390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N PILGRIM ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054428",
            "telephone_number": "209-466-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N PILGRIM ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054428",
            "telephone_number": "209-466-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "NICOLE",
        "middle_name": "RANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT156232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH",
            "identifier": "390200000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.