Individual provider Active NPI

Holly Alene Pick, LCSW

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1295942878
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4850C Issued in NV
Practice address
2720 N Tenaya Way
Las Vegas, NV 89128-0424
Phone
(763) 330-3997
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4850C NV Primary

Addresses

Primary practice location

2720 N Tenaya Way
Las Vegas, NV 89128-0424

Mailing address

8636 Castle Ridge Ave
Las Vegas, NV 89129-8305
Phone (702) 927-6642

Other practice location 1

8636 Castle Ridge Ave
Las Vegas, NV 89129-8305
Phone (702) 927-7642

Other practice location 2

9550 S Eastern Ave
#220D
Las Vegas, NV 89123-8038
Phone (702) 327-5378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111001202 NV Practitioner - Clinical Social Worker 9436172822 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4850CNVMDMental Health Counselor

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1295942878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8636 CASTLE RIDGE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298305",
            "telephone_number": "702-927-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N TENAYA WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280424",
            "telephone_number": "763-330-3997"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8636 Castle Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891298305",
            "country_code": "US",
            "telephone_number": "702-927-7642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9550 S Eastern Ave",
            "address_2": "#220D",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891238038",
            "country_code": "US",
            "telephone_number": "702-327-5378",
            "fax_number": "702-664-6396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICK",
        "first_name": "HOLLY",
        "middle_name": "ALENE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "4850C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.