NICOLE LYNN NISHIMURA (NPI# 1710445002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710445002 |
| Entity Type | Individual |
| Full Name | NICOLE LYNN NISHIMURA |
| Practice Address |
451 W Lincoln Ave Ste 100 Anaheim CA 92805-2912 |
| Practice Telephone | 6572176953 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
100659 | CA | Behavioral Health & Social Service Providers |
| Street Address |
451 W LINCOLN AVE STE 100 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92805-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992951180 | Korean Community Services Inc. | Community/Behavioral Health | 451 W Lincoln Ave Ste 100, Anaheim, CA 92805-2912 | 2008-08-07 |
| 1477002673 | Korean Community Services Inc. | Community/Behavioral Health | 451 W Lincoln Ave Ste 100, Anaheim, CA 92805-2912 | 2016-09-28 |
| 1659621415 | Stella Kim | Psychologist | 451 W Lincoln Ave Ste 100, Anaheim, CA 92805-2912 | 2012-09-19 |
| 1730446089 | Kcs | Community/Behavioral Health | 451 W Lincoln Ave Ste 100, Anaheim, CA 92805-2912 | 2012-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841840097 | Jesus Jaime Rodriguez | Technician | 805 N. Pauline St., Anaheim, CA 92805 | 2019-09-18 |
| 1225680994 | Michael Cross | Counselor | 710 N. Anaheim Blvd Anaheim, Ca 92805, 710 N.anaheim Blvd, Anaheim, CA 92805 | 2019-07-12 |
| 1588123459 | Dania Jesri | Behavior Technician | 300 N Avelia Way, Anaheim, CA 92805 | 2019-03-19 |
| 1346708872 | Tiffany Chauvet | Behavior Technician | 1300 East Orangewood Ave, Anaheim, CA 92805 | 2019-03-04 |
| 1972087740 | Jehanzeb Shahab Khairi | Behavior Technician | 3101 E Orangewood Ave, Anaheim, CA 92805 | 2018-09-18 |
| 1033693825 | Baotran Minh Le | Behavior Technician | 3101 E. Orangewood Ave., Anaheim, CA 92805 | 2018-09-18 |
| 1841778354 | Jonathan Besuamlak | Behavior Technician | 1301 E. Orangewood Ave., Anaheim, CA 92805 | 2018-08-06 |
| 1700364973 | Erica Vanderlinden | Behavioral Analyst | 1301 East Orangewood Avenue, Anaheim, CA 92805 | 2018-07-31 |
| 1578054391 | Us Care Transportation LLC | Non-emergency Medical Transport (VAN) | 248 S Seneca Cir, Anaheim, CA 92805 | 2018-05-29 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| Find all providers in zip 92805 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635501 | Serenity Journey Counseling Center LLC | Counselor | 155 N Riverview Dr Ste 112, Anaheim, CA 92808-1225 | 2020-10-08 |
| 1093286668 | Jason Harrison | Counselor | 1101 N Harbor Blvd # 15, Anaheim, CA 92801-2419 | 2018-12-07 |
| 1396237681 | Nicole Villegas | Counselor | 727 S Beach Blvd, Anaheim, CA 92804-3104 | 2018-06-01 |
| 1649774282 | Ivan Casabianca | Counselor | 505 N Euclid St # 300, Anaheim, CA 92801-5506 | 2018-03-20 |
| 1083113260 | Danh P Nguyen | Counselor | 1661 N Raymond Ste 200, Anaheim, CA 92801-1120 | 2018-02-02 |
| 1184139958 | Cindy Lynn Wells | Counselor | 7521 E Moonridge Ln, Anaheim, CA 92808-1457 | 2017-12-03 |
| 1437662657 | Matthew Martin Delgado | Counselor | 1661 N Raymond Ave. Ste 200, Anaheim, CA 92801-1120 | 2017-11-09 |
| 1578081691 | Christopher Mills | Counselor | 1025 S. Anaheim Blvd, Anaheim, CA 92805 | 2017-09-08 |
| 1770009086 | Evangelina Sayre | Counselor | 535 S. Walnut St., Anaheim, CA 92802 | 2017-08-17 |
| 1548783244 | Jennifer Romero | Counselor | 711 East Ball Rd, 201, Anaheim, CA 92805 | 2017-07-25 |
| Find all providers in ANAHEIM | ||||
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| 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.