Nicole Michelle Adal
Individual provider Active NPI Marriage & Family Therapist · Lancaster, CA
NPI 1689015133 · NPPES record last updated Feb 15, 2017
Key facts
- NPI
- 1689015133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT96862 (CA)
- Practice address
- 921 W Avenue J
Lancaster, CA 93534-3443 - Phone
- (661) 949-0131
- NPI assigned
- Jul 12, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604000132 | CA | Practitioner - Marriage and Family Therapist | 2567804834 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF70175 | CA | MD | Mental Health Counselor |
| 96862 | CA | MD | Social Worker |
| LMFT96862 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adal Heart2Heart Psychotherapy Services, Inc. | Current |
Accepting new patients |
Locations
2001 S Barrington Ave
Ste 314
Los Angeles, CA 90025
Phone (310) 948-3422
16654 Soledad Canyon Rd
Santa Clarita, CA 91387
Phone (310) 817-0466
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF70175 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT96862 | CA | Yes |
Addresses
Primary practice location
921 W Avenue J
Lancaster, CA 93534-3443
Mailing address
921 W Avenue J
Lancaster, CA 93534-3443
Phone (661) 949-0131
Other names
- Nicole Michelle MC Craw
Other providers in Lancaster, CA
- Gabriela Acosta
- Llanet Liliana Acosta
- Action Family Counseling - SCV Inc
- Acupuncture and Balanced Wellness, Inc.
- Acw Management Group Incorporated
- Jennifer Adamo
- Cynthia J Adams
- Jacqueline Marcelaine Adams
- Karimat Adebiyi
- Michael Olusegun Adeduro
All providers in Lancaster, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.