Active NPI
Debbie Jentzsch, MSC, CADC-I
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1013301464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 01574-I
- Practice address
- 2975 S Rainbow Blvd
Suite E
Las Vegas, NV 89146-6242 - Phone
- (702) 228-8520
- NPI assigned
- Mar 24, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 01574-I | NV | Primary |
Addresses
Primary practice location
2975 S Rainbow Blvd
Suite E
Las Vegas, NV 89146-6242
Mailing address
2975 S Rainbow Blvd
Suite E
Las Vegas, NV 89146-6242
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 |
|---|---|---|---|
| 01574-I | NV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427155200000",
"number": "1013301464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 S RAINBOW BLVD",
"address_2": "SUITE E",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 S RAINBOW BLVD",
"address_2": "SUITE E",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466242",
"telephone_number": "702-228-8520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENTZSCH",
"first_name": "DEBBIE",
"credential": "MSC, CADC-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-24",
"last_updated": "2015-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "01574-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.