Abraxas Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ABRAXAS CENTER LLC

Practice address

4575 W Cougar Ave Ste 300
Las Vegas, NV 89139-7617

Phone

(702) 412-8405

NPI assigned

Jan 30, 2020

Last updated

Jan 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenny Casino, LCSWNPI 1194148759

Title

Co-Founder

Phone

(702) 412-8405

Specialties & licenses 6

Addresses

Electronic endpoints 2

Locations

Interoperability endpoints

• Direct secure messaging: jenny@abraxascc.com
• Direct secure messaging: sydney@abraxascc.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenny L. M. Casino, LCSW, LCADC, CPGC

  • Clinical Social Worker
  • North Las Vegas, NV
  • NPI 1194148759
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1013548817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 BLUE DIAMOND RD # 102-105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397789",
            "telephone_number": "702-412-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 W COUGAR AVE STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397617",
            "telephone_number": "702-412-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAXAS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "CASINO",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "702-412-8405",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenny@abraxascc.com",
            "affiliation": "N",
            "address_1": "4575 W Cougar Ave Ste 300",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891397617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sydney@abraxascc.com",
            "affiliation": "N",
            "address_1": "4575 W Cougar Ave Ste 300",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891397617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jack Ebrahimpour Abrams, M.D.
• James Abrams
• James Abrams
• Laurie Beth Abrams, D.M.D
• Linda Abrams
• Abraza Dental Group LLC
• Vilma Elena Abrego-Ortiz
• Ana Abrego
• Jocelyn Abrego
• Julio Abrego

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.