NICOLE MEVORAK (NPI# 1801211404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801211404 |
| Entity Type | Organization |
| Organization Name | NICOLE MEVORAK |
| Practice Address |
11712 Moorpark St Suite 114 Studio City CA 91604-2154 |
| Practice Telephone | 8184007311 |
| Mailing Telephone | 8184007311 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | MRS. NICOLE DAVINA MEVORAK (LICENSED MARRIAGE FAMILY THERAPIST) |
| Authorized Official Telephone | 8184007311 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 52895 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11712 MOORPARK ST SUITE 114 |
| City | STUDIO CITY |
| State | CA |
| Zip Code | 91604-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962432831 | Elaine Beth Ahmad | Social Worker | 11712 Moorpark St, Suite 203, Studio City, CA 91604-2154 | 2006-07-04 |
| 1366954414 | Dairek Raymond Morgan | Marriage & Family Therapist | 11712 Moorpark St, #111, Studio City, CA 91604 | 2017-10-30 |
| 1770939852 | Susan Picascia | Social Worker | 11712 Moorpark St, Studio City, CA 91604-2154 | 2016-05-09 |
| 1568879674 | Dan Drake, Marriage and Family Therapist, A Professional Corporation | Community/Behavioral Health | 11712 Moorpark St, Suite 111, Studio City, CA 91604-2154 | 2014-07-21 |
| 1477964617 | Nicole Mevorakh | Marriage & Family Therapist | 11712 Moorpark St, #114, Studio City, CA 91604-2154 | 2014-05-09 |
| 1457629016 | Cathy Ann Dore | Marriage & Family Therapist | 11712 Moorpark St, Suite 110a, Studio City, CA 91604-2154 | 2011-12-09 |
| 1578845111 | Imani J Walker Do Professional Corporation | Psychiatry & Neurology | 11712 Moorpark St, Suite 104, Studio City, CA 91604-2154 | 2011-09-09 |
| 1376821074 | Daniel L Drake | Counselor | 11712 Moorpark St, Suite 111, Studio City, CA 91604-2154 | 2011-07-28 |
| 1982909834 | Magen M Todd | Psychologist | 11712 Moorpark St, Suite 111, Studio City, CA 91604-2154 | 2011-01-24 |
| 1023349875 | Marcy Gray Rubin | Marriage & Family Therapist | 11712 Moorpark St, Suite 206, Studio City, CA 91604-2154 | 2010-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971745 | Natalie M Maddison | Developmental Therapist | 4397 Tujunga Ave, Studio City, CA 91604 | 2019-09-16 |
| 1134774441 | Elizabeth Anne Wells | Social Worker | 4512 St. Clair Ave., Studio City, CA 91604 | 2019-08-04 |
| 1740751262 | Luminita Elena Docan | Counselor | 12456 Laurel Terrace Dr, #1, Studio City, CA 91604 | 2018-12-10 |
| 1568981041 | Lost Sheep, LLC | Substance Abuse Rehabilitation Facility | 4198 Sunswept Drive, Los Angeles, CA 91604 | 2017-09-15 |
| 1376072652 | Ambursd Medical Transportation Inc. | Non-emergency Medical Transport (VAN) | 11012 Ventura Blvd Suite # H, Studio City, CA 91604 | 2017-06-08 |
| 1134502784 | Stephen Earl Genender | Plastic Surgery | 3293 Wrightwood Dr., Studio City, CA 91604 | 2015-07-01 |
| 1306277298 | Dr. Ike, Inc. | Pharmacy | 11738 Ventura Blvd., Studio City, CA 91604 | 2013-12-03 |
| 1770916769 | Jon-paul Gamboa | Behavioral Analyst | 121754 Ventura Blvd., Ste D, Studio City, CA 91604 | 2013-08-14 |
| 1518308568 | Alexis Anne Prescott | Counselor | 11712 Moorpark St Ste 211, Studio City, CA 91604 | 2013-07-07 |
| 1154764157 | Peter Joseph Vogelsang | Internal Medicine | 11623 Dona Alicia Place, Studio City, CA 91604 | 2013-04-10 |
| Find all providers in zip 91604 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926552 | Lisa Porter, Family Counselor, Inc | Marriage & Family Therapist | 4721 Laurel Canyon Blvd. Ste #200, Studio City, CA 91607 | 2020-06-10 |
| 1447875075 | Roxane Lipton | Marriage & Family Therapist | 11650 Riverside Dr Ste 7a, Studio City, CA 91602-1066 | 2020-06-09 |
| 1295361012 | Lynell Isabel Weiss Yasno | Marriage & Family Therapist | 12711 Ventura Blvd Ste 160, Studio City, CA 91604-2476 | 2020-03-13 |
| 1508402363 | Coldwater Counseling Center, Inc | Marriage & Family Therapist | 4419 Coldwater Canyon Ave Ste E, Studio City, CA 91604-1478 | 2019-11-26 |
| 1740826973 | Nancy Willinger | Marriage & Family Therapist | 4508 Morse Ave, Studio City, CA 91604-1007 | 2019-11-22 |
| 1457816829 | Etchilds Group, Inc. | Marriage & Family Therapist | 11650 Riverside Dr Ste 7, Studio City, CA 91602-1066 | 2019-02-09 |
| 1861971848 | Allison D Baker | Marriage & Family Therapist | 13273 Ventura Blvd, Studio City, CA 91604-1840 | 2018-08-09 |
| 1104315621 | Ed Asner Family Center | Marriage & Family Therapist | 12400 Ventura Blvd # 371, Studio City, CA 91604-2406 | 2018-05-10 |
| 1831697283 | Norma Diane Dimeo | Marriage & Family Therapist | 13001 Galewood St, Studio City, CA 91604-4048 | 2018-01-30 |
| 1952809436 | Dale K. Rose, Lmft, Inc., Csat | Marriage & Family Therapist | 12725 Ventura Blvd Ste K, Studio City, CA 91604-2437 | 2018-01-30 |
| Find all providers in STUDIO CITY | ||||
| City | STUDIO CITY |
| Zip Code | 91604 |
Please comment or provide details below to improve the information on NICOLE MEVORAK.
| 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.