MEDICARE: NIKKI KARAGIANNIS APCC21511

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	APCC21511	CA

General Provider Information

NPI Number	:	1891645446
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKKI KARAGIANNIS APCC21511

Provider Business Mailing Address
First Line	:	16034 VENANGO RD
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92307-2434
Country	:	US
Telephone Number	:	210-760-8005
Fax Number	:

Provider Business Practice Location Address
First Line	:	16034 VENANGO RD
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92307-2434
Country	:	US
Telephone Number	:	210-760-8005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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