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MS. NICOLE MARIE DELUCA
NPI 1205467461
Counselor - Mental Health in Las Vegas, NV

Active since January 27, 2020PECOS Enrolled
2675 S JONES BLVD STE 102, LAS VEGAS, NV 89146(702) 951-9751 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Nicole Marie Deluca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE MARIE DELUCA (NPI 1205467461) is an individual mental health provider in Las Vegas, Nevada and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205467461
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. NICOLE MARIE DELUCA
Location Address2675 S JONES BLVD STE 102Las Vegas, NV 89146-5607
Mailing Address4743 Killington StLas Vegas, NV 89129-3305 · (702) 281-1004
Phone(702) 951-9751
Sole ProprietorYes
Enumeration DateJanuary 27, 2020
✔ NPI 1205467461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2675 S JONES BLVD STE 102, Las Vegas, NV 89146
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nicole Marie Deluca is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Deluca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serenity Therapeutic Center LLC
9.4 mi
Mental Health
2715 BRIARCLIFF AVE
Henderson, NV 89074
  • Reassigned Medicare billing, Nevada enrollment
  • 2 clinicians in this Medicare group
NPI 1386369841 (702) 412-9077

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA ANGELI SABALVARO APRN
Nurse Practitioner (Family)
2675 S JONES BLVD STE 102
LAS VEGAS, NV 89146
Clark County (702) 899-9873
MRS. MELISSA GAGNE LCSW
Social Worker (Clinical)
2675 S JONES BLVD STE 102
LAS VEGAS, NV 89146
Clark County (702) 951-9751
NEVER GIVE UP OUTPATIENT, LLC
Community/Behavioral Health
2675 S JONES BLVD STE 102
LAS VEGAS, NV 89146
Clark County (702) 951-9751
MR. ROBERTO AGUAYO
Case Manager/Care Coordinator
2675 S JONES BLVD STE 102
LAS VEGAS, NV 89146
Clark County (702) 951-9751
GOLDEN CREST MEDICAL GROUP, LLC
Nurse Practitioner (Primary Care)
2675 S JONES BLVD STE 102
LAS VEGAS, NV 89146
Clark County (702) 899-9873
DR. JENNIFER M. KISER PSY.D., MFT
Marriage & Family Therapist
2675 S JONES BLVD STE 102
LAS VEGAS, NV 89146
Clark County (702) 951-9751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Deluca's NPI number?

The NPI number for Nicole Deluca is 1205467461. It was assigned to this individual provider in the NPPES registry on January 27, 2020.

Where is Nicole Deluca located?

Nicole Deluca practices at 2675 S Jones Blvd Ste 102, Las Vegas, NV 89146. The listed phone number is (702) 951-9751.

What is Nicole Deluca's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Deluca enrolled in Medicare?

Yes. Nicole Deluca is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Deluca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Deluca reassigns Medicare benefits to Serenity Therapeutic Center LLC (Henderson, NV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Deluca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Deluca was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.