Nicole Lee Dolan, PHD LFMT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

87662 Issued in CA

Practice address

1390 Price St
Pismo Beach, CA 93449-2218

Phone

(805) 608-8824

NPI assigned

Jan 26, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Sacred Path

  • Marriage & Family Therapist
  • Pismo Beach, CA
  • NPI 1316671258
  Medicare reassignment NPD

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1922465657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 PRICE ST",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 PRICE ST",
            "city": "PISMO BEACH",
            "state": "CA",
            "postal_code": "934492218",
            "telephone_number": "805-608-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "credential": "PHD LFMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Diaz, NP
• Amanda Zoe Marie Dillen, D.O.
• Angela Elizabeth Diorio
• Samantha Dixon
• Doctors Medplus Medical Center
• Dolliver Tree, Inc.
• Don Q. Tran D.M.D. Inc.
• Ann Marie Donnelly, PHD
• Denise Dritsas, PSY.D.
• Erika Analise Eddy, L.AC.

• Marriage & Family Therapist in Pismo Beach, CA
• Providers in Pismo Beach, 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 Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.