Active NPI
Georgia Nieves
- Professional Counselor
- Merced, CA
National Provider Identifier
1699204610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC17283
- Practice address
- 300 E 15TH St Ste C
Merced, CA 95341-6217 - Phone
- (209) 726-1390
- NPI assigned
- Jun 5, 2017
- Last updated
- Nov 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APCC17283 | CA | Primary |
Addresses
Primary practice location
300 E 15TH St Ste C
Merced, CA 95341-6217
Mailing address
300 E 15TH St Ste C
Merced, CA 95341-6217
Phone (925) 628-0995
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
| License | State | Type | Specialty |
|---|---|---|---|
| APCC17283 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synchrony of Visalia, Inc | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1699204610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E 15TH ST STE C",
"city": "MERCED",
"state": "CA",
"postal_code": "953416217",
"telephone_number": "925-628-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E 15TH ST STE C",
"city": "MERCED",
"state": "CA",
"postal_code": "953416217",
"telephone_number": "209-726-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEVES",
"first_name": "GEORGIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-05",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC17283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.