Individual provider Active NPI

Monique Cunningham, MFT INTERN

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1043903289
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MI4247 Issued in NV
Practice address
3376 S Eastern Ave Ste 186
Las Vegas, NV 89169-3385
Phone
(702) 490-9009
Fax
(866) 737-6147
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MI4247 NV Primary

Addresses

Primary practice location

3376 S Eastern Ave Ste 186
Las Vegas, NV 89169-3385

Mailing address

3376 S Eastern Ave Ste 186
Las Vegas, NV 89169-3385
Phone (702) 490-9009

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

LicenseStateTypeSpecialty
MI4247NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Health Therapeutic & Empowerment Services LLC PastSince Jun 4, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1043903289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3376 S EASTERN AVE STE 186",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693385",
            "telephone_number": "702-490-9009",
            "fax_number": "866-737-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3376 S EASTERN AVE STE 186",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891693385",
            "telephone_number": "702-490-9009",
            "fax_number": "866-737-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MONIQUE",
        "credential": "MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "MI4247",
            "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 Jun 1, 2023; 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.