Raevin Nickerson, RAD-T
NPI 1487438594 · Addiction (Substance Use Disorder) Counselor · Fairfield, CA
Raevin Nickerson, RAD-T is a Addiction (Substance Use Disorder) Counselor provider in Fairfield, CA (NPI 1487438594).
Provider details
- NPI number
- 1487438594
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- RAD-T
- Sex
- Female
- Sole proprietor
- No
- License
- R1521270823 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2023-08-21
- Certified
- 2023-08-21
Frequently asked questions
- What is Raevin Nickerson's NPI number?
- Raevin Nickerson's National Provider Identifier (NPI) is 1487438594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raevin Nickerson's specialty?
- Raevin Nickerson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Raevin Nickerson located?
- Raevin Nickerson's practice location on file with NPPES is 1225 Travis Blvd, Fairfield, CA 94533-4892.
- What is Raevin Nickerson's phone number?
- The practice phone number listed in the NPPES registry for Raevin Nickerson is (707) 399-9105.
- Is Raevin Nickerson's NPI active?
- Yes — Raevin Nickerson's NPI (1487438594) is active in the NPPES registry as of the last update on 2023-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.