Faith N Nicholson
Individual provider Active NPI Peer Specialist · Yucca Valley, CA
NPI 1558008136 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1558008136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 58471 29 Palms Hwy Ste 102
Yucca Valley, CA 92284-5818 - Phone
- (760) 853-4888
- NPI assigned
- May 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-OVWSLE | CA | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Star Behavioral Health, Inc. | Past |
Accepting new patients | |
| Valley Star Behavioral Health, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | MPSS-OVWSLE | CA | |
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
58471 29 Palms Hwy Ste 102
Yucca Valley, CA 92284-5818
Mailing address
58471 29 Palms Hwy Ste 102
Yucca Valley, CA 92284-5818
Phone (857) 760-4888
Other names
- Faith Noel McAllen
Other providers in Yucca Valley, CA
- Terri S. Nelson
- Ryan Micahel Ness
- New Terrain Therapy Licensed Clinical Social Worker PC
- Dawn L. Newland
- Richard Nguyen
- Lonny James Nicholson Jr.
- Delia D Nilsen
- Patricia J Noonan
- Thomas Charles Norman
- Marjan Norouzzadeh
All providers in Yucca Valley, CA · Peer Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.