Organization Active NPI

Machuca Behavioral Health II LLC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1023752672
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MACHUCA BEHAVIORAL HEALTH II LLC
Practice address
1605 S Eastern Ave
Las Vegas, NV 89104-3953
Phone
(702) 480-6024
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Rocio FavelaNPI 1831409507
Title
Manager
Phone
(702) 480-6024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1605 S Eastern Ave
Las Vegas, NV 89104-3953

Mailing address

4323 Honeycomb Dr
Las Vegas, NV 89147-4922
Phone (702) 480-6024

National Provider Directory

National Provider Directory

Locations

1605 S Eastern Ave
Las Vegas, NV 89104
Phone (702) 480-6024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1023752672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 HONEYCOMB DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474922",
            "telephone_number": "702-480-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043953",
            "telephone_number": "702-480-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACHUCA BEHAVIORAL HEALTH II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "FAVELA",
        "authorized_official_first_name": "ROCIO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-480-6024"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Apr 20, 2022; 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.