Nicole Gerth

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFC 47189 Issued in CA

Legal business name

NICOLE GERTH

Practice address

30011 Ivy Glenn Dr
Suite 221
Laguna Niguel, CA 92677-5014

Phone

(949) 922-2476

NPI assigned

Oct 9, 2009

Last updated

Oct 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole J Gerth, MFT

Title

Therapist

Phone

(949) 922-2476

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek R. Carroll, MA

  • Marriage & Family Therapist
  • Laguna Niguel, CA
  • NPI 1699836080
  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1407181316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR",
            "address_2": "SUITE 221",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775014",
            "telephone_number": "949-922-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR",
            "address_2": "SUITE 221",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775014",
            "telephone_number": "949-922-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE GERTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "GERTH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "949-922-2476",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC 47189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngoc Giao Thi Nguyen, MD
• Phuong Mai Nguyen, PHARM .D
• Quan Minh Kenny Nguyen
• Thuy Nguyen
• William D Nguyen, D.D.S., M.S.D.
• Night Owl Therapies LLC
• Armita Nikgohar
• Niloofar Nikpour, LAC, MTOM
• Nimbus Medical LLC
• Nimesh Patel a Professional Dental Corporation

• Community/Behavioral Health Agency in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.