ALEXIS C NICODEMUS (NPI# 1841806049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841806049 |
| Entity Type | Individual |
| Full Name | ALEXIS C NICODEMUS |
| Practice Address |
10419 Old Placerville Rd Sacramento CA 95827-2509 |
| Practice Telephone | 9163660647 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
10419 OLD PLACERVILLE RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433937 | Jasmine Kaur | Counselor | 10419 Old Placerville Rd, Sacramento, CA 95827-2509 | 2020-09-25 |
| 1881200921 | Fiona Arenson | Marriage & Family Therapist | 10419 Old Placerville Rd, Sacramento, CA 95827-2509 | 2020-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417554007 | Norman Plotkin | Counselor | 717 K St Ste 430, Sacramento, CA 95814-3477 | 2020-10-06 |
| 1265047310 | Pamela J Hammon | Counselor | 5572 Lackland Way, Sacramento, CA 95835-1540 | 2020-09-14 |
| 1164031357 | Dawn Patriece Carter | Counselor | 7215 Kara Dr, Sacramento, CA 95828-3506 | 2020-07-23 |
| 1821616103 | Chrystal Rene Baisley | Counselor | 3550 Watt Ave Ste 3, Sacramento, CA 95821-2668 | 2020-07-13 |
| 1417595422 | Kaeo Vang | Counselor | 906 G St Ofc 539, Sacramento, CA 95814-1800 | 2019-12-20 |
| 1780227298 | Alina A Sala | Counselor | 248 Arbor Crest Way, Sacramento, CA 95838-2031 | 2019-10-28 |
| 1144885963 | Jennifer Salvi | Counselor | 460 Drake Cir, Sacramento, CA 95864-5666 | 2019-05-07 |
| 1609431048 | Jessica Joanne Higgins Magana | Counselor | 6600 44th St Ste A, Sacramento, CA 95823-1260 | 2019-05-01 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on ALEXIS C NICODEMUS.
| 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.