Individual provider Active NPI

Nicole B Nicholas

  • Mental Health Counselor
  • Oceanside, CA
National Provider Identifier
1851540397
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2103 S El Camino Real Ste 202
Oceanside, CA 92054-6281
Phone
(442) 500-8548
Fax
(760) 400-8379
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2103 S El Camino Real Ste 202
Oceanside, CA 92054-6281

Mailing address

2103 S El Camino Real Ste 202
Oceanside, CA 92054-6281
Phone (442) 500-8548

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

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree Licensed Clinical Social Worker CurrentSince Jul 13, 2025 Accepting new patients
Pug Therapy CurrentSince Jul 13, 2025 Accepting new patients

Locations

2103 S El Camino Real
Ste 202
Oceanside, CA 92054
Phone (442) 500-8548

Organizations & group practices 2

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1851540397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 S EL CAMINO REAL STE 202",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546281",
            "telephone_number": "442-500-8548",
            "fax_number": "760-400-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 S EL CAMINO REAL STE 202",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546281",
            "telephone_number": "442-500-8548",
            "fax_number": "760-400-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "NICOLE",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.