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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 16, 2017.

{
    "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

All providers in Las Vegas, NV · Mental Health Counselor in Nevada

Sources for this page

Verify at the official NPI Registry.