Individual provider Active NPI

Nicole V Safford, PHD

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1093166936
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI4172 Issued in NV
Practice address
8390 W Windmill LN
Las Vegas, NV 89113-4420
Phone
(702) 337-3111
Fax
(702) 552-8861
NPI assigned
Jun 22, 2016
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MI4172 NV Primary
Rehabilitation Practitioner 225400000X NU

Addresses

Primary practice location

8390 W Windmill LN
Las Vegas, NV 89113-4420

Mailing address

8390 W Windmill LN
Las Vegas, NV 89113-4420
Phone (702) 337-3111

Other names 1

  • Mrs. Nicole V Frady Former name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MI4172NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A New Journey Wellness and Therapy Center LLC CurrentSince Dec 1, 2023 Accepting new patients
Family Centers of Nevada LLC Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1093166936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W WINDMILL LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134420",
            "telephone_number": "702-337-3111",
            "fax_number": "702-552-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W WINDMILL LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891134420",
            "telephone_number": "702-337-3111",
            "fax_number": "702-552-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFFORD",
        "first_name": "NICOLE",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4172",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "FRADY",
            "middle_name": "V",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.