Nicole Erika Janson, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

54056 Issued in CA

Practice address

3164 Condo CT
Santa Rosa, CA 95403-2557

Phone

(707) 523-2334

Fax

(707) 523-0133

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1235449547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 CANE ST APT 10",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949392079",
            "telephone_number": "415-786-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 CONDO CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032557",
            "telephone_number": "707-523-2334",
            "fax_number": "707-523-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSON",
        "first_name": "NICOLE",
        "middle_name": "ERIKA",
        "name_prefix": "Ms.",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "54056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan O Sonander, MD
• Augustina Jancic, FNP
• Becky Lee Jandrey, PH.D.
• Norick J Janian, M.D.
• Zeena Janowsky, MFT
• Brian Keith Jaramillo, CMT
• Kasandra Jaramillo
• John B Jarvis, PH.D.
• Robert Elton Jarvis II, DDS
• Adam Douglas Jasa

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.