Individual provider Active NPI

Nicole Taylor Whitmore

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1558048397
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145170 Issued in CA
Practice address
4955 Alta St
Simi Valley, CA 93063-2452
Phone
(805) 791-3725
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 145170 CA Primary

Addresses

Primary practice location

4955 Alta St
Simi Valley, CA 93063-2452

Mailing address

15455 Glenoaks Blvd SPC 92
Sylmar, CA 91342-7934

Other practice location 1

2136 Cutler St
Simi Valley, CA 93065-4923
Phone (805) 527-1166

Other practice location 2

1672 Casarin Ave
Simi Valley, CA 93065-4515
Phone (805) 522-4891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
For the Future, Inc. CurrentSince Jul 9, 2023 Accepting new patients
Guiding Our Youth PastSince Apr 25, 2021 Accepting new patients
Guiding Our Youth PastSince Mar 28, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicole.whitmore.p1@direct.gthealthcare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1558048397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15455 GLENOAKS BLVD SPC 92",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 ALTA ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632452",
            "telephone_number": "805-791-3725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2136 Cutler St",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930654923",
            "country_code": "US",
            "telephone_number": "805-527-1166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1672 Casarin Ave",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930654515",
            "country_code": "US",
            "telephone_number": "805-522-4891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "NICOLE",
        "middle_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.