Individual provider Active NPI

Nikita Noel-Smith

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1750684486
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4140 Issued in NV
Practice address
3650 N Rancho Dr Ste 104
Las Vegas, NV 89130-3151
Phone
(702) 998-0551
Fax
(702) 998-0552
NPI assigned
Dec 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Marriage & Family Therapist 106H00000X 4140 NV Primary

Addresses

Primary practice location

3650 N Rancho Dr Ste 104
Las Vegas, NV 89130-3151

Mailing address

3650 N Rancho Dr Ste 104
Las Vegas, NV 89130-3151
Phone (702) 998-0551

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
I20240404003495 NV Practitioner - Marriage and Family Therapist 6406292093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4140NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jelani and Associates, LLC Current Accepting new patients

Locations

3650 N Rancho Dr
Ste 104
Las Vegas, NV 89130
Phone (702) 595-1863

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": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1750684486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N RANCHO DR STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303151",
            "telephone_number": "702-998-0551",
            "fax_number": "702-998-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 N RANCHO DR STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303151",
            "telephone_number": "702-998-0551",
            "fax_number": "702-998-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL-SMITH",
        "first_name": "NIKITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.