Individual provider Active NPI

Nicole Simone Pilot

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1891414652
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MI4471 Issued in NV
Practice address
2510 E Sunset Rd Ste 5-823
Las Vegas, NV 89120-3511
Phone
(702) 685-0877
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X MI4471 NV Primary

Addresses

Primary practice location

2510 E Sunset Rd Ste 5-823
Las Vegas, NV 89120-3511

Mailing address

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818
Phone (310) 945-3350

Other practice location 1

9808 Venice Blvd Ste 505
Culver City, CA 90232-6818
Phone (310) 945-3350

Other names 1

  • Nicole Simone Allen Former name

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

LicenseStateTypeSpecialty
MI4471NVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Therapy Solutions LLC Marriage & Family Therapist CurrentSince Feb 2, 2025 Accepting new patients

Locations

2510 E Sunset Rd
Ste 5823
Las Vegas, NV 89120

4760 S Pecos Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 369-9706

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1891414652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD STE 505",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326818",
            "telephone_number": "310-945-3350",
            "fax_number": "310-945-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E SUNSET RD STE 5-823",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203511",
            "telephone_number": "702-685-0877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9808 Venice Blvd Ste 505",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902326818",
            "country_code": "US",
            "telephone_number": "310-945-3350",
            "fax_number": "310-945-3356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILOT",
        "first_name": "NICOLE",
        "middle_name": "SIMONE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI4471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ALLEN",
            "middle_name": "SIMONE",
            "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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.