Individual provider Active NPI

Edward L Fenn, LCSW

  • Counselor
  • Henderson, NV
National Provider Identifier
1023274768
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
7358-C Issued in NV
Practice address
3005 W Horizon Ridge Pkwy
Henderson, NV 89052-5029
Phone
(702) 428-2870
NPI assigned
Aug 1, 2008
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7358-C NV Primary

Addresses

Primary practice location

3005 W Horizon Ridge Pkwy
Henderson, NV 89052-5029

Mailing address

3620 E Chablis N
Pahrump, NV 89048-4841
Phone (702) 428-2870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160926000644 NV Practitioner - Clinical Social Worker 7517254188 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oasis Counseling LLCGroup PAC ID 3971752684, 20 clinicians

Practice addresses (Care Compare)

2360 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-5082
Phone (702) 294-0433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7358-CNVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Theravada Mental Health LLC CurrentSince Dec 7, 2020 Accepting new patients
Oasis Counseling LLC CurrentSince Nov 11, 2024 Accepting new patients
Behavioral Health Solutions LLC Counselor CurrentSince Apr 1, 2020 Accepting new patients
Insight Therapy Solutions LLC Counselor CurrentSince Jul 11, 2025 Accepting new patients
Mind Power Behavioral Services LLC CurrentSince Mar 1, 2021 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629

2831 Saint Rose Pkwy
Ste 227
Henderson, NV 89052
Phone (805) 807-4140

1607 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 757-8720

2445 Fire Mesa St
Ste 270
Las Vegas, NV 89128
Phone (702) 212-3008

2701 N Tenaya Way
Ste 200
Las Vegas, NV 89128
Phone (702) 605-9959

4570 S Eastern Ave
Ste 28
Las Vegas, NV 89119
Phone (702) 361-8800

4760 S Pecos Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 369-9706

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1023274768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 E CHABLIS N",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890484841",
            "telephone_number": "702-428-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 W HORIZON RIDGE PKWY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525029",
            "telephone_number": "702-428-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "EDWARD",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "7358-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.