Tracy Lynn Nicklas, AMFT/APCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

157713 Issued in CA

Practice address

855 Bowsprit Rd
Chula Vista, CA 91914-4529

Phone

(619) 549-0329

NPI assigned

Nov 21, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Through Life Counseling, Inc.

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1801385745
  NPD

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1508727173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12802 MAPLEVIEW ST APT 9",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920402003",
            "telephone_number": "858-833-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 BOWSPRIT RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144529",
            "telephone_number": "619-549-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKLAS",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "AMFT/APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "20565",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "157713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas M Gistaro DMD Apc
• Brittany Nichols, RN
• Miranda Nichols
• Sheri L. Nicholson, AMFT
• Greg Nicita
• Judith Nicolas
• Nadia Galindo Niebla
• Ashley Nielsen
• Efren V Nierva, D.O.
• Emely Nieto

• Marriage & Family Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.