Nicol Kanani Aiu

Individual provider Active NPI Marriage & Family Therapist · Las Vegas, NV

NPI 1023307709 · NPPES record last updated Jun 22, 2020

Key facts

NPI
1023307709
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MI0731 (NV)
Practice address
6655 W Sahara Ave
Las Vegas, NV 89146-0842
Phone
(702) 629-6982
NPI assigned
Apr 1, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MI0731NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Today Behavioral Health LLC Current
since Jun 21, 2020
Accepting new patients
Freeman & Young PC Current
since Jun 21, 2020
Accepting new patients

Locations

6655 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 222-3238

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X MI0731 NV Yes

Addresses

Primary practice location

6655 W Sahara Ave
Las Vegas, NV 89146-0842

Mailing address

4638 White Head CT
Las Vegas, NV 89147-4746
Phone (808) 368-7561

Other practice location 1

5060 S Rainbow Blvd Unit 204
Las Vegas, NV 89118-1168
Phone (808) 368-7561

Other providers in Las Vegas, NV

All providers in Las Vegas, NV · Marriage & Family Therapist in Nevada

Sources for this page

Verify at the official NPI Registry.