Individual provider Active NPI

Andrea Nishimi, LMFT, LPCC

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1629762489
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138874 Issued in CA
Practice address
1844 San Miguel Dr Ste 306a
Walnut Creek, CA 94596-8610
Phone
(925) 289-8025
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 14711 CA
Marriage & Family Therapist 106H00000X 138874 CA Primary

Addresses

Primary practice location

1844 San Miguel Dr Ste 306a
Walnut Creek, CA 94596-8610

Mailing address

1844 San Miguel Dr Ste 306a
Walnut Creek, CA 94596-8610
Phone (925) 289-8025

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

State licenses

LicenseStateTypeSpecialty
138874CAMDMarriage & Family Therapist
14711CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Choi Licensed Clinical Social Worker & Nishimi Child Therapist Mental Health CurrentSince Jan 28, 2024 Accepting new patients

Locations

1844 San Miguel Dr
Ste 306A
Walnut Creek, CA 94596
Phone (510) 502-0792

Organizations & group practices 1

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": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1629762489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 306A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968610",
            "telephone_number": "925-289-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR STE 306A",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945968610",
            "telephone_number": "925-289-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIMI",
        "first_name": "ANDREA",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "14711",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.