NICOLE LEE DOUGLAS ASSOCIATE MFT
NPI 1154956829
Counselor - Mental Health in Santa Rosa, CA

NPI Status: Active since March 03, 2020

Contact Information

3434 MENDOCINO AVE # A
SANTA ROSA, CA
ZIP 95403
Phone: (707) 284-1978

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  • Individual
  • Female
  • Counselor
  • Mental Health

About NICOLE DOUGLAS

This page provides the complete NPI Profile along with additional information for Nicole Douglas, a provider established in Santa Rosa, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1154956829 assigned on March 2020. The practitioner's primary taxonomy code is 101YM0800X with license number 112167 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1154956829
Provider Name
NICOLE LEE DOUGLAS ASSOCIATE MFT
Gender
Female
Entity Type
Individual
Location Address
3434 MENDOCINO AVE # A SANTA ROSA, CA 95403
Location Phone
(707) 284-1978
Mailing Address
1757 AVILA RANCH DR PETALUMA, CA 94954
Mailing Phone
(415) 823-8647
Is Sole Proprietor?
No
Enumeration Date
03-03-2020
Last Update Date
03-03-2020
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A mental health counselor like Nicole Douglas provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
112167
License State
CA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154956829
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041851284
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 8 + 5 + 1 + 2 + 8 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1154956829 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1639617699SONOMA COUNTY CHILD & FAMILY COUNSELING, INC.
Organization
Marriage & Family Therapist3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
(707) 322-1929
1689195216SONOMA COUNTY CHILD & FAMILY COUNSELING, INC.
Organization
Community/Behavioral Health3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
(707) 284-1978
1689160012 KATHERINE ELLEN BUTLER AMFT
Individual
Counselor (Mental Health)3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
(707) 284-1978
1366032682 DANIELLE RESTIEAUX-LOUIS MSW, ASW
Individual
Social Worker (Clinical)3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
(707) 284-1978
1508541418 JADA JEFFRIES ASW
Individual
Social Worker3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
(707) 284-1978
1073367884 GIANNA MARIE AMBROSIO
Individual
Counselor (Professional)3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
(707) 284-1978
1407604259MS. HALEY SCHMIDT AMFT
Individual
Marriage & Family Therapist3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
(707) 284-1978
1083423479 DEBRA ANN SEDENO
Individual
Marriage & Family Therapist3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
(707) 583-9094
1396633962MS. NARJES FARAJI
Individual
Counselor (Mental Health)3434 MENDOCINO AVE # A
SANTA ROSA, CA 95403
(707) 329-5707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154956829, enumerated in the NPI registry as an "individual" on March 03, 2020

The provider is located at 3434 Mendocino Ave # A Santa Rosa, Ca 95403 and the phone number is (707) 284-1978

The provider's speciality is Counselor with taxonomy code 101YM0800X with a focus in Mental Health

This NPI record was last updated on March 03, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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