Individual provider Active NPI

Nicole Widmyer, LMFT

  • Marriage & Family Therapist
  • Santa Monica, CA
National Provider Identifier
1982182218
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
87617 Issued in CA
Practice address
1452 26TH St Ste 301
Santa Monica, CA 90404-3085
Phone
(424) 393-3567
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 87617 CA Primary

Addresses

Primary practice location

1452 26TH St Ste 301
Santa Monica, CA 90404-3085

Mailing address

1452 26TH St Ste 301
Santa Monica, CA 90404-3085
Phone (424) 393-3567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 21, 2024 through Feb 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
87617CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1982182218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 26TH ST STE 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043085",
            "telephone_number": "424-393-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 26TH ST STE 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043085",
            "telephone_number": "424-393-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDMYER",
        "first_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.