Active NPI
Nicol Kanani Aiu
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1023307709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI0731
- Practice address
- 6655 W Sahara Ave
Las Vegas, NV 89146-0842 - Phone
- (702) 629-6982
- NPI assigned
- Apr 1, 2011
- Last updated
- Jun 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | MI0731 | NV | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI0731 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman & Young PC | Current | Accepting new patients | |
| Therapy Today Behavioral Health LLC | Current | Accepting new patients |
Locations
6655 W Sahara Ave
Las Vegas, NV 89146
Phone (702) 629-6982
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1306200845
-
dba Desert Anesthesiologists
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1013944149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1023307709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4638 WHITE HEAD CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891474746",
"telephone_number": "808-368-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 W SAHARA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460842",
"telephone_number": "702-629-6982"
}
],
"practiceLocations": [
{
"address_1": "5060 S Rainbow Blvd Unit 204",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891181168",
"country_code": "US",
"telephone_number": "808-368-7561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AIU",
"first_name": "NICOL",
"middle_name": "KANANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI0731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.