Active NPI
Amanda Nicole Vieira, CADC
- Addiction (Substance Use Disorder) Counselor
- North Las Vegas, NV
National Provider Identifier
1003253550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 01046
- Practice address
- 211 Judson Ave
North Las Vegas, NV 89030-5642 - Phone
- (702) 399-2769
- Fax
- (702) 399-0271
- NPI assigned
- May 23, 2013
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01046 | NV | Primary |
Addresses
Primary practice location
211 Judson Ave
North Las Vegas, NV 89030-5642
Mailing address
5659 Duncan Drive
Las Vegas, NV 89130
Phone (702) 385-2020
Other names 1
- Amanda Nicole Sorrels
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 |
|---|---|---|---|
| 01046 | NV | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Rehabilitation Program the Salvation Army | Past | Accepting new patients | |
| Westcare Nevada Inc | Past | Accepting new patients | |
| Westcare Nevada Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Substance Abuse Rehabilitation Facility
- North Las Vegas, NV
- NPI 1053757765
-
- Substance Abuse Rehabilitation Facility
- Las Vegas, NV
- NPI 1306022025
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1902214752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1003253550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5659 DUNCAN DRIVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89130",
"telephone_number": "702-385-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 JUDSON AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890305642",
"telephone_number": "702-399-2769",
"fax_number": "702-399-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIEIRA",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"credential": "CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-23",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "01046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "SORRELS",
"middle_name": "NICOLE",
"credential": "CADC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.