Debra Nystrom, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC31725 Issued in CA

Practice address

20601 US Highway 18 Ste 158
Apple Valley, CA 92307-3567

Phone

(760) 946-2804

Fax

(760) 946-0378

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Integrated Therapies, a Family Counseling Corporation

  • Marriage & Family Therapist
  • Apple Valley, CA
  • NPI 1285791954
  NPD Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1982724027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20258 US HIGHWAY 18 STE 430-449",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923076197",
            "telephone_number": "760-946-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20601 US HIGHWAY 18 STE 158",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923073567",
            "telephone_number": "760-946-2804",
            "fax_number": "760-946-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYSTROM",
        "first_name": "DEBRA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC31725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon R Novoa
• Crystal Noyes
• Megan Colleen Nuckols, FNP
• Jessica Nunes, OTR/L
• Rizwan D Nurani, MD
• Hallie O'Brien, PPS
• Oak Fence Senior Living LLC
• Odyssey Healthcare Operating a, LP
• Rosie Oganesian
• Tina Maria Ogg

• Mental Health Counselor in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.