Individual provider Active NPI

Nikki Shige Villarreal Nino, AMFT

  • Marriage & Family Therapist
  • San Luis Obispo, CA
National Provider Identifier
1326936766
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
AMFT155128 Issued in CA
Practice address
676 Pismo St
San Luis Obispo, CA 93401-3945
Phone
(805) 952-2079
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT155128 CA Primary

Addresses

Primary practice location

676 Pismo St
San Luis Obispo, CA 93401-3945

Mailing address

676 Pismo St
San Luis Obispo, CA 93401-3945
Phone (805) 952-2079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AMFT155128CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1326936766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 PISMO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013945",
            "telephone_number": "805-952-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 PISMO ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013945",
            "telephone_number": "805-952-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL NINO",
        "first_name": "NIKKI",
        "middle_name": "SHIGE",
        "name_prefix": "Mrs.",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT155128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.