Active NPI
Nicole Anais Mitchell, CATC III
- Mental Health Counselor
- Ventura, CA
National Provider Identifier
1174844435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 5810 Ralston St
Second Floor
Ventura, CA 93003-6010 - Phone
- (805) 642-7033
- Fax
- (805) 642-7732
- NPI assigned
- Jun 21, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | Primary |
Addresses
Primary practice location
5810 Ralston St
Second Floor
Ventura, CA 93003-6010
Mailing address
832 Colina Vista
Ventura, CA 93003-1360
Phone (805) 642-7033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174400000X | Other | CA | OTHER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1174844435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "832 COLINA VISTA",
"city": "VENTURA",
"state": "CA",
"postal_code": "930031360",
"telephone_number": "805-642-7033",
"fax_number": "805-642-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 RALSTON ST",
"address_2": "SECOND FLOOR",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036010",
"telephone_number": "805-642-7033",
"fax_number": "805-642-7732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "NICOLE",
"middle_name": "ANAIS",
"name_prefix": "Mrs.",
"credential": "CATC III",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER",
"identifier": "174400000X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.