Active NPI
Helen Nikitin, LICSW
- Mental Health Counselor
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 22533
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ISW04742 | RI | MD | Mental Health Counselor |
| 22533 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uplift Behavioral Health Services LLC | Current | Accepting new patients | |
| Luminosity Behavioral Health Services Inc | Current | Accepting new patients | |
| Uplift Behavioral Health Services LLC | Past | 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.
-
- Community/Behavioral Health Agency
- Brockton, MA
- NPI 1265728521
-
dba Uplift Behavioral Health
- Community/Behavioral Health Agency
- West Roxbury, MA
- NPI 1245982990
-
- Urgent Care Clinic/Center
- Brockton, MA
- NPI 1982561825
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.