Active NPI
Bernard Nicolas, M.A., LMFT
- Marriage & Family Therapist
- Torrance, CA
National Provider Identifier
1891891115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC43591
- Practice address
- 23505 Crenshaw Blvd
Torrance, CA 90505-5221 - Phone
- (424) 264-9058
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC43591 | CA | Primary |
Addresses
Primary practice location
23505 Crenshaw Blvd
Torrance, CA 90505-5221
Mailing address
1379 W Park Western Dr
#262
San Pedro, CA 90732-2300
Phone (424) 264-9058
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC43591 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1891891115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1379 W PARK WESTERN DR",
"address_2": "#262",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907322300",
"telephone_number": "424-264-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23505 CRENSHAW BLVD",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905055221",
"telephone_number": "424-264-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLAS",
"first_name": "BERNARD",
"name_prefix": "Mr.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC43591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
- Jana Nicholl, MS, RD, IBCLC
- Brenda Larue Nichols, MFT INTERN
- Karina Lea Nichols
- Larissa Marie Nichols, CERTIFIED OPTICIAN
- Lily Anna Nichols, R.D.
- Nicole Alexander Spencer MD Inc
- Nicole Alexander Spencer MD Inc
- Nicole Bravo, a Marriage & Family Therapy Professional Corporation
- Kelly Nieh, OD
- Dalton Nielsen, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.