Individual provider Active NPI

Nicole Cain, AMFT

  • Mental Health Counselor
  • Cameron Park, CA
National Provider Identifier
1881565646
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AMFT156167 Issued in CA
Practice address
3107 Camerosa Cir
Cameron Park, CA 95682-7709
Phone
(949) 400-5345
NPI assigned
Sep 15, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 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 AMFT156167 CA Primary

Addresses

Primary practice location

3107 Camerosa Cir
Cameron Park, CA 95682-7709

Mailing address

3107 Camerosa Cir
Cameron Park, CA 95682-7709
Phone (949) 400-5345

Other practice location 1

710 Bidwell St
Folsom, CA 95630-3039
Phone (916) 237-7042

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

State licenses

LicenseStateTypeSpecialty
AMFT156167CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1881565646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 CAMEROSA CIR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827709",
            "telephone_number": "949-400-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 CAMEROSA CIR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827709",
            "telephone_number": "949-400-5345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "710 Bidwell St",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303039",
            "country_code": "US",
            "telephone_number": "916-237-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAIN",
        "first_name": "NICOLE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT156167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.