Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexa Nichole Kidman

Individual provider Mental Health Counselor · NPI 1760133300

Alexa Nichole Kidman is a Mental Health Counselor in Fair Oaks, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

4125 Temescal St
Fair Oaks, CA 95628-7558
Phone: (916) 877-6894
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 106466 (CA)

Record details

NPI number1760133300
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2022
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022

Other providers in Fair Oaks