Active NPI
Nicole Lynn Freeman
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1851867329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7310 Smoke Ranch Rd Ste S
Las Vegas, NV 89128-0260 - Phone
- (702) 608-7290
- NPI assigned
- Oct 22, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
7310 Smoke Ranch Rd Ste S
Las Vegas, NV 89128-0260
Mailing address
7310 Smoke Ranch Rd Ste S
Las Vegas, NV 89128-0260
Phone (702) 608-7290
Other practice location 1
6305 Elysian Fields Ave
New Orleans, LA 70122-4245
Phone (504) 810-0008 ext. 50481
Other practice location 2
7374 W. Lake Mead Blvd
Las Vegas, NV 89128
Phone (702) 608-7290
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Www.simplepractice.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1851867329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7310 SMOKE RANCH RD STE S",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280260",
"telephone_number": "702-608-7290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 SMOKE RANCH RD STE S",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280260",
"telephone_number": "702-608-7290"
}
],
"practiceLocations": [
{
"address_1": "6305 Elysian Fields Ave",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701224245",
"country_code": "US",
"telephone_number": "504-810-0008 x50481",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7374 W. Lake Mead Blvd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "89128",
"country_code": "US",
"telephone_number": "702-608-7290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREEMAN",
"first_name": "NICOLE",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-22",
"last_updated": "2023-03-20",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Www.simplepractice.com",
"affiliation": "N",
"endpointDescription": "Simple Practice",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "www.calmgardenstherapy.com",
"address_1": "7374 W. Lake Mead Blvd",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "89128",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.