Nichelle L Small

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

880148782 Issued in NV

Practice address

21 W Owens Ave
134
North Las Vegas, NV 89030-6817

Phone

(702) 399-5466

NPI assigned

Mar 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1114292182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W OWENS AVE",
            "address_2": "132",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306802",
            "telephone_number": "702-399-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W OWENS AVE",
            "address_2": "134",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890306817",
            "telephone_number": "702-399-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "NICHELLE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "880148782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Slayton
• Jordan R Sleight
• Stephen Slubar, PHARMD
• Lashee M Small
• Marissa Small
• Takala Small
• Latoya Tyraia Smalls
• Lavern Smalls
• Smi Imaging LLC
• Chloe Smit, LMSW, CSW-INTERN

• Mental Health Counselor in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.