Individual provider Active NPI

Sara Nicoletti

  • Marriage & Family Therapist
  • El Cerrito, CA
National Provider Identifier
1760878128
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT44509 Issued in CA
Practice address
2321 Cedar St
El Cerrito, CA 94530-1610
Phone
(510) 468-9344
NPI assigned
Apr 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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 LMFT44509 CA Primary

Addresses

Primary practice location

2321 Cedar St
El Cerrito, CA 94530-1610

Mailing address

2321 Cedar St
El Cerrito, CA 94530-1610
Phone (510) 468-9344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 8, 2026 through Jan 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT44509CAMDMarriage & Family Therapist
44509CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Integrative Marriage and Family Therapy Group Inc Marriage & Family Therapist Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1760878128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 CEDAR ST",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945301610",
            "telephone_number": "510-468-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 CEDAR ST",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945301610",
            "telephone_number": "510-468-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLETTI",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT44509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cerrito, CA

Sources for this page

Verify at the official NPI Registry.