Nicole Tiedt, Licensed Professional Clinical Counselor, P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NICOLE TIEDT, LICENSED PROFESSIONAL CLINICAL COUNSELOR, P.C.

Doing business as

Thriving Minds Therapy

Practice address

41593 Winchester Rd Ste 200
Temecula, CA 92590-4857

Phone

(951) 254-7032

NPI assigned

Apr 21, 2021

Last updated

Apr 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Tiedt, LPCCNPI 1346768405

Title

Owner/Therapist

Phone

(951) 254-7032

Specialties & licenses 4

Addresses

Other names 1

• Thriving Minds Therapy Doing business as

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Tiedt, LPCC

  • Professional Counselor
  • Temecula, CA
  • NPI 1346768405

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619222400000",
    "number": "1639750540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904857",
            "telephone_number": "951-254-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41593 WINCHESTER RD STE 200",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925904857",
            "telephone_number": "951-254-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE TIEDT, LICENSED PROFESSIONAL CLINICAL COUNSELOR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A",
        "authorized_official_last_name": "TIEDT",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "951-254-7032",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole@thrivingmindsca.com",
            "affiliation": "N",
            "address_1": "41593 Winchester Rd Ste 200",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925904857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@thrivingmindsca.com",
            "affiliation": "N",
            "address_1": "41593 Winchester Rd Ste 200",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925904857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Thriving Minds Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nichols Speech Pathology and Therapy Services, Inc.
• Jamie A Nichols, M.S. SLP-CCC
• Megan Siera Nichols
• Rubin Nichols, DDS
• Amanda Nickles, LCSW
• Katrina Garcia Niere, LMFT
• Lindsay Nicole Niesen
• Diana Nieto
• Evelyn Nieves
• Nifa, Inc. (NIFA Medical Billing)

• Professional Counselor in Temecula, CA
• Providers in Temecula, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; 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.