Individual provider Active NPI

Nicolette Fay Gillespie

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1184023947
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
10 Declaration Dr Ste B
Chico, CA 95973-4931
Phone
(530) 487-4702
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X CA Primary

Addresses

Primary practice location

10 Declaration Dr Ste B
Chico, CA 95973-4931

Mailing address

10 Declaration Dr Ste B
Chico, CA 95973-4931
Phone (530) 487-4702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240116004245 CA Practitioner - Marriage and Family Therapist 5597117408 Practice locations: Hamilton City, CA
I20240321001496 TX Practitioner - Marriage and Family Therapist 5597117408 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104391CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Valley Indian Health, Inc CurrentSince Apr 1, 2024 Accepting new patients
Northern Valley Indian Health Inc CurrentSince Apr 1, 2024 Accepting new patients
Northern Valley Indian Health Inc Current Accepting new patients

Locations

207 N Butte St
Willows, CA 95988
Phone (530) 934-4641

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAEBD
  • Direct secure messaging: nicolette.gillespie@nvih.eclinicaldirectplus.com

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Northern Valley Indian Health Inc 35 clinicians

Practice addresses (Care Compare)

1990 Concord Ave
Chico, CA 95928-9518
Phone (530) 809-3300

207 N Butte St
Willows, CA 95988-2803
Phone (530) 934-9293

500 Cohasset Rd
Suite 15
Chico, CA 95926-2260
Phone (530) 433-2500

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1184023947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DECLARATION DR STE B",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734931",
            "telephone_number": "530-487-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DECLARATION DR STE B",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734931",
            "telephone_number": "530-487-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLESPIE",
        "first_name": "NICOLETTE",
        "middle_name": "FAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.