Active NPI
Alexis Nielsen, LMFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1487121695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MI1092
- Practice address
- 5231 Dickens Dr
Las Vegas, NV 89119-7705 - Phone
- (702) 540-8687
- NPI assigned
- Oct 25, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MI1092 | NV | Primary |
Addresses
Primary practice location
5231 Dickens Dr
Las Vegas, NV 89119-7705
Mailing address
5231 Dickens Dr
Las Vegas, NV 89119-7705
Phone (702) 540-8687
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI1092 | Other | NV | INTERN LICENSE |
| 14438971 | Medicaid | NV | |
| 3184 | Other | NV | LMFT |
Other names 1
- Alexis Florence
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 |
|---|---|---|---|
| MI1092 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHC of Nevada Inc | Marriage & Family Therapist | Past | Accepting new patients |
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": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1487121695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5231 DICKENS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197705",
"telephone_number": "702-540-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5231 DICKENS DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891197705",
"telephone_number": "702-540-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "ALEXIS",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-25",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "MI1092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERN LICENSE",
"identifier": "MI1092",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14438971",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMFT",
"identifier": "3184",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXIS",
"last_name": "FLORENCE",
"code": "1",
"type": "Former Name"
}
]
}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 Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.