Ellen Nichols, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

41877 Issued in CA

Practice address

2455 Bennett Valley Rd Ste B209
Santa Rosa, CA 95404-5669

Phone

(707) 224-8266

NPI assigned

Nov 8, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Aldea, Inc.

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1912780420
  NPD
• Aldea Inc

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1023419652
  NPD (past)
• Aldea, Inc

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1972897346
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1285704502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 F ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949524113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BENNETT VALLEY RD STE B209",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045669",
            "telephone_number": "707-224-8266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2310 1st St",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945592239",
            "country_code": "US",
            "telephone_number": "707-224-8266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4820 Business Center Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945341696",
            "country_code": "US",
            "telephone_number": "707-224-8266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "ELLEN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.aldeainc.org",
            "affiliation": "N",
            "address_1": "2455 Bennett Valley Rd Ste B209",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954045669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shyla Nhey
• Nina Ni, MD
• Paul E Nicholas, MD
• Brooke Lane Nichols
• David E Nichols
• Gary Nichols, M.D.
• Robert J. Nied, MD
• Sarah Niehaus, MD
• Angela Michele Niemi, MD
• Amber Nierode, D.D.S.

• 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 Jan 29, 2024; 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.