Nicole Chari Booker
Individual provider Active NPI Mental Health Counselor · Las Vegas, NV
NPI 1023522786 · NPPES record last updated Nov 16, 2017
Key facts
- NPI
- 1023522786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1555 E Flamingo Rd Ste 125
Las Vegas, NV 89119-5259 - Phone
- (702) 751-4801
- NPI assigned
- Nov 16, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1555 E Flamingo Rd Ste 125
Las Vegas, NV 89119-5259
Mailing address
1555 E Flamingo Rd Ste 125
Las Vegas, NV 89119-5259
Phone (702) 751-4801
NPI Registry JSON
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1023522786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 E FLAMINGO RD STE 125",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195259",
"telephone_number": "702-751-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 E FLAMINGO RD STE 125",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195259",
"telephone_number": "702-751-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOKER",
"first_name": "NICOLE",
"middle_name": "CHARI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Jylene Booker
- Kimberly Ann Booker
- Latasha Sheree Booker
- Nadia Booker
- Nicholle Lynn Booker
- Olyvia Booker
- Raquel Booker
- Rickey Booker
- Stephen E Booker
- Tamika Booker
All providers in Las Vegas, NV · Mental Health Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.