Nicolle Yvonne Cheatham, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC13349 Issued in CA

Practice address

30240 Rancho Viejo Rd Ste C
San Juan Capistrano, CA 92675-1515

Phone

(949) 444-2576

NPI assigned

Mar 7, 2025

Last updated

Mar 7, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1417756057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W AVENIDA VALENCIA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725446",
            "telephone_number": "949-616-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30240 RANCHO VIEJO RD STE C",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751515",
            "telephone_number": "949-444-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "NICOLLE",
        "middle_name": "YVONNE",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC13349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winifred Chambers, M.D.
• Becky Ngo Chan, PHARM D
• William Weiming Chang, D.O.
• Lydia A Chapelsky, MD
• Diana Chavez, LCSW
• Valerie Chen, BCBA
• Priscilla Margarita Chilian
• Eric K Chiu, RPH
• Hyung Sup Jeff Choi, PH.D.
• Rebecca Chou, DACM

• Mental Health Counselor in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.