Nicole Casella

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

92964 Issued in CA

Practice address

1041 E Yorba Linda Blvd
Placentia, CA 92870

Phone

(800) 701-0937

NPI assigned

Sep 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Forward Wellness Family Therapy, Inc.

  • Community/Behavioral Health Agency
  • Placentia, CA
  • NPI 1093398059
  Medicare reassignment NPD

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1174925747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27473",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928090115",
            "telephone_number": "714-801-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "92870",
            "telephone_number": "800-701-0937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Hillcrest St",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906315340",
            "country_code": "US",
            "telephone_number": "562-691-3263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 E Yorba Linda Blvd",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "92870",
            "country_code": "US",
            "telephone_number": "800-701-0937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1041 E Yorba Linda Blvd",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928703728",
            "country_code": "US",
            "telephone_number": "800-701-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASELLA",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-25",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "CA",
            "license": "63993",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "92964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linda Carlson, MFT
• Carver Senior Homes LLC
• Eunice Castanos, PPS
• Lizette Castillo
• Randall Nichole Castillo
• Daniel Jose Castrejon
• Elijah Castrence

• Mental Health Counselor in Placentia, CA
• Providers in Placentia, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.