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

Kia Nichelle

Individual provider Contractor · NPI 1083047195

Kia Nichelle is a Marriage and Family Therapist in Victorville, California. Qualified in 2014, 12 years ago. Practices with Tobias Moeller-Bertram MD Corporation, a 55-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone: (760) 684-4143
Fax: (760) 684-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence IMF84576 (CA)
Contractor Taxonomy 171W00000X

Record details

NPI number1083047195
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2013
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Tobias Moeller-Bertram Md Corporation — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Tobias Moeller-Bertram MD Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 55 clinicians in the practice; 12 are shown here.