Active NPI
Holly Alene Pick, LCSW
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1295942878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4850C
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4850C | NV | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.