Nicole Marie Acosta
Individual provider Active NPI Marriage & Family Therapist · Pasadena, CA
NPI 1891079265 · NPPES record last updated Jun 29, 2026
Key facts
- NPI
- 1891079265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 122515 (CA)
- Practice address
- 867 N Fair Oaks Ave
Pasadena, CA 91103-3050 - Phone
- (626) 204-1360
- NPI assigned
- Oct 4, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 122515 | CA | Yes |
Addresses
Primary practice location
867 N Fair Oaks Ave
Pasadena, CA 91103-3050
Mailing address
533 Santa Mariana Ave
La Puente, CA 91746-1852
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106H00000X | Medicaid | CA |
Other providers in Pasadena, CA
- Elia Acosta
- Francisca M Acosta
- Jacielle Jeravey Acosta
- Jennifer Acosta
- Michael Thomas Acosta
- Acro Consultancy Services a Psychological Corporation
- Actus ABA LLC
- Diego Fernando Acuna
- Frederick Andrew Acuna
- Noel C Acuna
All providers in Pasadena, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.