Nicole Dae Vettel

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

38329 Issued in CA

Practice address

2698 Dawson Ave Ste G
Signal Hill, CA 90755-2066

Phone

(562) 452-4810

Fax

(562) 452-4811

NPI assigned

Apr 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Opus Counseling Services a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Signal Hill, CA
  • NPI 1760023964
  NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1861187239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 ATLANTIC AVE # 670",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075606",
            "telephone_number": "818-419-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 DAWSON AVE STE G",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552066",
            "telephone_number": "562-452-4810",
            "fax_number": "562-452-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VETTEL",
        "first_name": "NICOLE",
        "middle_name": "DAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "38329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace Chinedu Umeh, RN, MSN, NP
• Universal Care Dental
• Urgent Care Anywhere
• Denise Vasquez
• Melissa Vaswani, MFT
• Josue Alejandro Villa Ruiz, SA-C
• Kathleen Villagomez, LCSW
• Luci Anais Villasenor
• Vista Radiology Medical Associates, Inc.
• Vitagear ZN LLC

• Marriage & Family Therapist in Signal Hill, CA
• Providers in Signal Hill, 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 Apr 10, 2023; 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.