Nichelle Alva, LMFT
Individual provider Active NPI Marriage & Family Therapist · Auburn, NY
NPI 1316616469 · NPPES record last updated Sep 12, 2021
Key facts
- NPI
- 1316616469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 119610 (CA)
- Practice address
- 8 Tuxill SQ
Auburn, NY 13021-3915 - Phone
- (612) 229-0970
- NPI assigned
- Sep 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119610 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 119610 | CA | Yes |
Addresses
Primary practice location
8 Tuxill SQ
Auburn, NY 13021-3915
Mailing address
8 Tuxill SQ
Auburn, NY 13021-3915
Phone (612) 229-0970
Other providers in Auburn, NY
- James W. Alexander
- Betsi Algar
- Tara Marie Allen
- Mary B Alley
- Jessica Susan Allison
- Jennifer Lee Ambrose
- Michaela Ambrose
- Colleen A Amedro
- Courtney Amedro
- Barbara Lynn Andersen
All providers in Auburn, NY · Marriage & Family Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.