Individual provider Active NPI

Nicole Elizabeth Burns, AMFT

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1992699367
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
149874 Issued in CA
Practice address
3075 Citrus Cir Ste 165
Walnut Creek, CA 94598-2669
Phone
(925) 553-3376
Fax
(925) 553-5090
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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 149874 CA Primary

Addresses

Primary practice location

3075 Citrus Cir Ste 165
Walnut Creek, CA 94598-2669

Mailing address

30 Hiddenwood CT
Bay Point, CA 94565-7632
Phone (925) 698-8556

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

State licenses

LicenseStateTypeSpecialty
149874CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Child & Family Therapy Incorporated CurrentSince Jun 15, 2025 Accepting new patients

Locations

3075 Citrus Cir
Ste 165
Walnut Creek, CA 94598
Phone (925) 269-4468

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1992699367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HIDDENWOOD CT",
            "city": "BAY POINT",
            "state": "CA",
            "postal_code": "945657632",
            "telephone_number": "925-698-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 CITRUS CIR STE 165",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982669",
            "telephone_number": "925-553-3376",
            "fax_number": "925-553-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "149874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.