NPIMap

Organization Active NPI

Henderson Substance Abuse Treatment Center

  • Addiction (Substance Use Disorder) Counselor
  • Henderson, NV
National Provider Identifier
1053688283
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
00309-C Issued in NV
Legal business name
HENDERSON SUBSTANCE ABUSE TREATMENT CENTER
Practice address
2 Idaho Way
Henderson, NV 89015-7209
Phone
(702) 565-6060
Fax
(702) 565-6097
NPI assigned
Nov 16, 2011
Last updated
May 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Lynette Stewart, CADCNPI 1326450677
Title
Owner/Counselor
Phone
(702) 565-6060

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
Addiction (Substance Use Disorder) Counselor 101YA0400X 00309-C NV Primary

Addresses

Primary practice location

2 Idaho Way
Henderson, NV 89015-7209

Mailing address

2 Idaho Way
Henderson, NV 89015-7209
Phone (702) 565-6060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1053688283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 IDAHO WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157209",
            "telephone_number": "702-565-6060",
            "fax_number": "702-565-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 IDAHO WAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157209",
            "telephone_number": "702-565-6060",
            "fax_number": "702-565-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON SUBSTANCE ABUSE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "702-565-6060",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00309-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.