Individual provider Active NPI

Yamile Virginia Carbonell-Semper

  • Behavior Technician
  • Las Vegas, NV
National Provider Identifier
1003498601
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6375 S Pecos Rd Ste 202
Las Vegas, NV 89120-3270
Phone
(702) 476-1304
NPI assigned
Apr 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

6375 S Pecos Rd Ste 202
Las Vegas, NV 89120-3270

Mailing address

4715 Vegas Valley Dr Unit 9
Las Vegas, NV 89121-7944
Phone (702) 542-8194

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHR Direct Wholeness Mental Health LLC

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": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1003498601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 VEGAS VALLEY DR UNIT 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891217944",
            "telephone_number": "702-542-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 S PECOS RD STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203270",
            "telephone_number": "702-476-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONELL-SEMPER",
        "first_name": "YAMILE",
        "middle_name": "VIRGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EHR",
            "affiliation": "Y",
            "endpointDescription": "Behavioral Health",
            "affiliationName": "Wholeness Mental Health LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6375 S Pecos Rd Ste 202",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891203270",
            "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 Apr 22, 2021; 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.