Active NPI
Nicole Ward
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1306284807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 5024
- Practice address
- 10151 Dorrell LN
Unit 1167
Las Vegas, NV 89166-1026 - Phone
- (850) 313-0112
- NPI assigned
- Jun 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5024 | FL | Primary |
| Mental Health Counselor | 101YM0800X | 51023 | FL | |
| Psychoanalyst | 102L00000X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
10151 Dorrell LN
Unit 1167
Las Vegas, NV 89166-1026
Mailing address
10151 Dorrell LN
Unit 1167
Las Vegas, NV 89166-1026
Phone (850) 313-0112
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51023 | FL | MD | Mental Health Counselor |
| 5024 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1306284807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10151 DORRELL LN",
"address_2": "UNIT 1167",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891661026",
"telephone_number": "850-313-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10151 DORRELL LN",
"address_2": "UNIT 1167",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891661026",
"telephone_number": "850-313-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "5024",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "51023",
"primary": false
},
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.