Active NPI
Alandrius Smith
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1053853119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 3831 W Charleston Blvd Ste 318
Las Vegas, NV 89102-1859 - Phone
- (318) 669-9383
- NPI assigned
- Nov 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Behavior Analyst | 103K00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3831 W Charleston Blvd Ste 318
Las Vegas, NV 89102-1859
Mailing address
2696 Matogroso LN
Las Vegas, NV 89121-1539
Phone (702) 305-0652
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Visions LLC | Current | Accepting new patients | |
| Nevada'S Children & Family Development Center LLC | Behavior Analyst | Current | Accepting new patients |
| Lambo Visions LLC | Behavior Analyst | Current | Accepting new patients |
Locations
3831 W Charleston Blvd
Ste 318
Las Vegas, NV 89102
Phone (702) 201-1058
Organizations & group practices 3
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.
-
- Addiction (Substance Use Disorder) Counselor
- Bastrop, LA
- NPI 1477235844
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1548511876
Behavior Analyst
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1053853119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2696 MATOGROSO LN",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891211539",
"telephone_number": "702-305-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 W CHARLESTON BLVD STE 318",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021859",
"telephone_number": "318-669-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ALANDRIUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-07",
"last_updated": "2023-06-05",
"certification_date": "2023-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral 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 Jun 5, 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.