Active NPI
Nicole Rane Cowan
- Marriage & Family Therapist
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT156232
- Practice address
- 430 N Pilgrim St
Stockton, CA 95205-4428 - Phone
- (209) 466-0853
- NPI assigned
- Dec 7, 2016
- Last updated
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 390200000X | Other | CA | BEHAVIORAL 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT156232 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Joaquin Behavioral Health Services | Marriage & Family Therapist | Current | Accepting new patients |
| County of San Joaquin | Current | Accepting new patients | |
| Wellmind Online Ca Licensed Clinical Social Worker Prof Corp | Current | Accepting new patients | |
| San Joaquin County Behavioral Health Services | Current | 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.
-
dba San Joaquin County Behavioral Health Services
- Community/Behavioral Health Agency
- Stockton, CA
- NPI 1215028931
Marriage & Family Therapist
-
dba Wellmind
- Psychiatry Physician
- Palo Alto, CA
- NPI 1447871272
-
dba San Joaquin County Clinic Manteca
- Multi-Specialty Clinic/Center
- Manteca, CA
- NPI 1417407636
-
dba SJC-MHSA Community Response Team
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockton, CA
- NPI 1588865109
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
- County of San Joaquin (San Joaquin County Clinics FPC)
- Maria Dejesus Covarrubias-Gamino
- Mario Covarrubias
- Covenant Care California, LLC (Wagner Heights Residential)
- Covenant Care California, LLC (Wagner Heights Nursing & Rehabilitation Center)
- Illa Cox, MSN FNP
- Makayla Cox
- Tomias Cox
- Geert Craenen, MD
- Craig Anthony Lenz (Lenz Podiatry Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.