Active NPI
Nicole Aline Hoefer, LMFT
- Marriage & Family Therapist
- Lynwood, CA
National Provider Identifier
1407630247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 155768
- Practice address
- 2640 Industry Way
Lynwood, CA 90262-4284 - Phone
- (310) 627-4525
- NPI assigned
- Aug 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 155768 | CA | Primary |
| Case Manager/Care Coordinator | 171M00000X | |||
| Marriage & Family Therapist | 106H00000X | 142955 | CA |
Addresses
Primary practice location
2640 Industry Way
Lynwood, CA 90262-4284
Mailing address
2640 Industry Way
Lynwood, CA 90262-4284
Phone (310) 627-4525
Other practice location 1
13160 Mindanao Way Ste 213
Marina Del Rey, CA 90292-6358
Phone (925) 282-1778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
490 Post St
San Francisco, CA 94102-1301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142955 | CA | MD | Marriage & Family Therapist |
| 155768 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1407630247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2640 INDUSTRY WAY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624284",
"telephone_number": "310-627-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 INDUSTRY WAY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902624284",
"telephone_number": "310-627-4525"
}
],
"practiceLocations": [
{
"address_1": "13160 Mindanao Way Ste 213",
"address_purpose": "LOCATION",
"city": "Marina Del Rey",
"state": "CA",
"postal_code": "902926358",
"country_code": "US",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOEFER",
"first_name": "NICOLE",
"middle_name": "ALINE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "155768",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "142955",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.