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

Jaye Nicole

Individual provider Mental Health Counselor · NPI 1134863202

Jaye Nicole is a Mental Health Counselor in Riverside, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

4295 Brockton Ave
Riverside, CA 92501-3446
Phone: (951) 683-6596
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1134863202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2022
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

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