JENNIFER MARIE NICKEL


Address: 1616 W Shaw Ave Ste B4, Fresno, CA 93711-3513
Phone: 5592933174

JENNIFER MARIE NICKEL (NPI# 1306181532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306181532
Entity Type Individual
Full Name JENNIFER MARIE NICKEL
Practice Address 1616 W Shaw Ave Ste B4
Fresno
CA 93711-3513
Mailing Address 264 Clovis Ave Ste 201
Clovis
CA 93612-1115
Practice Telephone 5592933174
Mailing Telephone 5594758202
Enumeration Date 2012-11-28
Last Update Date 2020-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
264 Clovis Ave Ste 201, Clovis, CA 936121115 5594758202

Other Providers JENNIFER NICKEL

NPI Name Taxonomy Address Enumeration
1285030221 Jennifer Nickel Speech-Language Pathologist 2500 W Strub Rd Ste 150, Sandusky, OH 44870-5488 2014-11-18

Office Location

Street Address 1616 W SHAW AVE STE B4
City FRESNO
State CA
Zip Code 93711-3513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134777071 California Impact Services PACE Provider Organization 1616 W Shaw Ave Ste B4, Fresno, CA 93711-3513 2019-09-03
1538661558 Medilogistics LLC Non-emergency Medical Transport (VAN) 1616 W Shaw Ave Ste B4, Fresno, CA 93711-3513 2018-03-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104464684 Kazi Shafiul Moula Dentist Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 2019-12-16
1760037063 Armine Petrosyan Nurse Practitioner 427 W Beford Ave Suite 103, Fresno, CA 93711 2019-08-05
1912489360 Shoua Nelson Nurse Practitioner 2490 W. Shaw Avenue Suite 101, Fresno, CA 93711 2018-09-02
1245725506 Promesa Behavioral Health-barstow Community Based Residential Treatment Facility, Mental Illness 1415 W Barstow Ave, Fresno, CA 93711 2018-06-28
1407344138 Aidan Mechem Behavior Technician 5140 N. Fruit Avene, Fresno, CA 93711 2018-04-27
1841798840 Michael Ramos IIi Behavior Technician 1690 N Shaw Ave, 102, Fresno, CA 93711 2018-01-25
1962913467 Dhara Devendrakumar Patel Pharmacist 740 West Alluvial Avenue, Suite 101, Fresno, CA 93711 2017-10-24
1588183636 Bianca Arteaga Counselor 7485 N. Palm Ave., Suite 103, Fresno, CA 93711 2017-09-10
1346763158 Powell Pediatric Dentistry Ingram Partnership Dentist 7761 N Ingram Ave, Suite 101, Fresno, CA 93711 2017-07-24
1982124202 Justine Syera Balbas Counselor 2766 W. Celeste Ave., Unit 103, Fresno, CA 93711 2017-06-27
Find all providers in zip 93711

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215540141 Nina Coffin Marriage & Family Therapist 5151 N Palm Ave Ste 720, Fresno, CA 93704-2221 2020-08-29
1205464468 Anahi Arias Aranda Marriage & Family Therapist 3645 W Shaw Ave # 101, Fresno, CA 93711-3206 2020-03-31
1396396800 Sarah Settle Marriage & Family Therapist 1744 E Nees Ave, Fresno, CA 93720-2301 2019-09-25
1285192096 Antionette Brookins & Associates, Corp Marriage & Family Therapist 5275 N 1st St, Fresno, CA 93710-7007 2019-03-11
1285107771 Timothy Childs Marriage & Family Therapist 4928 E Clinton Way #108, Fresno, CA 93727-1526 2019-01-07
1922578574 Dalise N Smith Marriage & Family Therapist 6224 W Belmont Ave, Fresno, CA 93723-9556 2018-11-27
1265908560 Diana Hernandez-zamarripa Marriage & Family Therapist 1350 Van Ness Ave, Fresno, CA 93721-1714 2018-10-15
1093296279 Emma Shaljyan Marriage & Family Therapist 2025 E Dakota Ave Ste 200, Fresno, CA 93726-4804 2018-08-24
1063993756 Destination.hope Counseling & Enrichment Center Marriage & Family Therapist 5756 N Marks Ave Ste 156, Fresno, CA 93711-2171 2018-08-22
1760970412 Ariel A Floriano Marriage & Family Therapist 2002 N Fine Ave Ste 101, Fresno, CA 93727-1511 2018-04-27
Find all providers in FRESNO

Competitor

Search similar providers

City FRESNO
Zip Code 93711

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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