Michelle Elizabeth Nelson, LMFT#114300

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

114300 Issued in CA

Practice address

2081 Holt Dr.
Lodi, CA 95242

Phone

(209) 986-7149

NPI assigned

May 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Michelle Elizabeth Oden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 1, 2025 through Aug 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1891173357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W. KETTLEMEN LN. PMB #326",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95240",
            "telephone_number": "209-986-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 HOLT DR.",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95242",
            "telephone_number": "209-986-7149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4175 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948065774",
            "country_code": "US",
            "telephone_number": "510-262-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LMFT#114300",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF94133",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "IMF94133",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ODEN",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "MFTI#94133",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Neal
• Alexander Johannes Nedopil, M.D.
• Lori Neely, PHARM D
• Yejide Ann Nelson-Glenn, TEACHING CREDENTIAL
• Kendra Elise Nelson
• New Family Christian Church (New Life Christian Counseling)
• Alexus Lan Ngo-Agard, MS
• Shirley Ngo
• Katrina Marie Nguyen, FNP
• Lien Thi Kim Nguyen, O.D.

• Marriage & Family Therapist in Lodi, CA
• Providers in Lodi, 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 Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.