Healthcare Provider Details

I. General information

NPI: 1558296582
Provider Name (Legal Business Name): NICOLE KESSLER ROSENSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NIKKI ROSENSON MA, LMFT

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19528 VENTURA BLVD # 395
TARZANA CA
91356-2917
US

IV. Provider business mailing address

19528 VENTURA BLVD # 395
TARZANA CA
91356-2917
US

V. Phone/Fax

Practice location:
  • Phone: 747-222-6557
  • Fax:
Mailing address:
  • Phone: 747-222-6557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163869
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: