Individual provider Active NPI

Nickole Katherine Iadarola, M.A.

  • Marriage & Family Therapist
  • Napa, CA
National Provider Identifier
1851676720
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114141 Issued in CA
Practice address
2751 Napa Valley Corporate Dr
Napa, CA 94558-6216
Phone
(707) 253-4561
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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 114141 CA Primary

Addresses

Primary practice location

2751 Napa Valley Corporate Dr
Napa, CA 94558-6216

Mailing address

231 Donaldson Way
American Canyon, CA 94503
Phone (707) 639-6162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514000972 CA Practitioner - Marriage and Family Therapist 6709227366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Napa County CurrentSince Apr 1, 2024 Accepting new patients
County of Napa Current Accepting new patients

Locations

2751 Napa Valley Corporate Dr
Bldg A
Napa, CA 94558
Phone (707) 253-4279

2751 Napa Valley Corporate Dr
Bldg B
Napa, CA 94558
Phone (707) 227-3880

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, 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": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1851676720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 DONALDSON WAY",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "94503",
            "telephone_number": "707-639-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 NAPA VALLEY CORPORATE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586216",
            "telephone_number": "707-253-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IADAROLA",
        "first_name": "NICKOLE",
        "middle_name": "KATHERINE",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2021-05-20",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.