Individual provider Active NPI

Helen Nikitin, LICSW

  • Mental Health Counselor
  • San Jose, CA
National Provider Identifier
1194847954
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22533 Issued in CA
Practice address
1046 W Taylor St
Suite #100
San Jose, CA 95126-1815
Phone
(408) 297-7349
Fax
(408) 297-7354
NPI assigned
Apr 4, 2007
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 116511 MA
Mental Health Counselor 101YM0800X 22533 CA Primary
Mental Health Counselor 101YM0800X ISW04742 RI

Addresses

Primary practice location

1046 W Taylor St
Suite #100
San Jose, CA 95126-1815

Mailing address

1046 W Taylor St
Suite #100
San Jose, CA 95126-1815
Phone (408) 297-7349

Other practice location 1

5260 Washington St Ste 12
West Roxbury, MA 02132-6354
Phone (508) 313-9994

Other practice location 2

166 Valley St Bldg 6M
Providence, RI 02909-2400
Phone (401) 448-0076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120831000521 MA Practitioner - Clinical Social Worker 7315194016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Luminosity Behavioral HealthGroup PAC ID 7618137977, 4 clinicians
Uplift Behavioral Health Services LLCGroup PAC ID 0042677510, 2 clinicians

Practice addresses (Care Compare)

157 Main St
Brockton, MA 02301-4012
Phone (781) 344-0102

5260 Washingston St
Suite 12
West Roxbury, MA 02132-6354
Phone (617) 942-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW04742RIMDMental Health Counselor
22533CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Behavioral Health Services LLC CurrentSince Jun 1, 2023 Accepting new patients
Luminosity Behavioral Health Services Inc CurrentSince Feb 1, 2025 Accepting new patients
Uplift Behavioral Health Services LLC PastSince Jun 1, 2023 Accepting new patients

Locations

157 Main St
Brockton, MA 02301
Phone (508) 559-1567

5260 Washington St
Ste 12
West Roxbury, MA 02132
Phone (508) 313-9994

166 Valley St
Bldg 6M
Providence, RI 02909
Phone (401) 448-0076

Organizations & group practices 3

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1194847954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 W TAYLOR ST",
            "address_2": "SUITE #100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261815",
            "telephone_number": "408-297-7349",
            "fax_number": "408-297-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 W TAYLOR ST",
            "address_2": "SUITE #100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261815",
            "telephone_number": "408-297-7349",
            "fax_number": "408-297-7354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5260 Washington St Ste 12",
            "address_purpose": "LOCATION",
            "city": "West Roxbury",
            "state": "MA",
            "postal_code": "021326354",
            "country_code": "US",
            "telephone_number": "508-313-9994",
            "fax_number": "617-586-1102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Valley St Bldg 6M",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029092400",
            "country_code": "US",
            "telephone_number": "401-448-0076",
            "fax_number": "401-448-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKITIN",
        "first_name": "HELEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "116511",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "22533",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "ISW04742",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.