Alexa Nichole Kidman, - Counselor in Fair Oaks, CA

Alexa Nichole Kidman, is a Counselor - Mental Health based in Fair Oaks, California. Alexa Nichole Kidman is licensed to practice in California (license number 106466) and her current practice location is 4125 Temescal St, Fair Oaks, California. She can be reached at her office (for appointments etc.) via phone at (916) 877-6894.

NPI number for Alexa Nichole Kidman is 1760133300 and her current mailing address is 5716 Folsom Blvd # 276, Sacramento, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760133300.

Contact Information

Alexa Nichole Kidman,
4125 Temescal St,
Fair Oaks, CA 95628-7558
(916) 877-6894
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameAlexa Nichole Kidman
GenderFemale
SpecialityCounselor - Mental Health
Location4125 Temescal St, Fair Oaks, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760133300
  • Provider Enumeration Date: 01/14/2022
  • Last Update Date: 01/14/2022

Medical Identifiers

Medical identifiers for Alexa Nichole Kidman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760133300NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 106466 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alexa Nichole Kidman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alexa Nichole Kidman,
5716 Folsom Blvd # 276,
Sacramento, CA 95819-4608

Ph: (801) 649-9632
Alexa Nichole Kidman,
4125 Temescal St,
Fair Oaks, CA 95628-7558

Ph: (916) 877-6894

Reviews and Comments


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