Tricia L Nickerson, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

57151 Issued in CA

Practice address

2513 24TH St
San Francisco, CA 94110-3556

Phone

(415) 652-8311

Fax

(415) 695-1263

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Alternative Family Services, Inc

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1811122732
  NPD (past)
• Alternative Family Services, Inc.

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1356591606
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1841324712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 EXECUTIVE PARK BLVD. SUITE 4900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94134",
            "telephone_number": "415-738-9099",
            "fax_number": "415-656-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 24TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103556",
            "telephone_number": "415-652-8311",
            "fax_number": "415-695-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "TRICIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5039",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "57151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1309161",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Alistair Nicholson, MBBS
• Nick Levi a Professional Corporation
• Michael Nickelby
• Jordan Nickelson-Smith
• Nora Phillips Nickerson, FNP
• Christopher Michael Nicklo, HAD
• James George Nickolopoulos, DPM
• Eva L Nickson
• Barbara Nicol, M.D.
• Chance Timothy Nicol, DPT

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.