Nicholle Lynn Booker
Individual provider Active NPI Professional Counselor · Las Vegas, NV
NPI 1376299461 · NPPES record last updated Mar 12, 2026
Key facts
- NPI
- 1376299461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 013438 (PA)
- Practice address
- 4616 W Sahara Ave Ste 242
Las Vegas, NV 89102-3654 - Phone
- (757) 560-6677
- NPI assigned
- Feb 27, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013438 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 013438 | PA | Yes |
Addresses
Primary practice location
4616 W Sahara Ave Ste 242
Las Vegas, NV 89102-3654
Mailing address
4616 W Sahara Ave Ste 242
Las Vegas, NV 89102-3654
Phone (757) 560-6677
Other providers in Las Vegas, NV
- Daphne Booker
- Jylene Booker
- Kimberly Ann Booker
- Latasha Sheree Booker
- Nadia Booker
- Nicole Chari Booker
- Olyvia Booker
- Raquel Booker
- Rickey Booker
- Stephen E Booker
All providers in Las Vegas, NV · Professional Counselor in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.