NPIMap

Organization Active NPI

Consultation & Counseling Associates

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1073768982
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
02001 Issued in NV
Legal business name
CONSULTATION & COUNSELING ASSOCIATES
Doing business as
Sandal A. Kelly Ph.D., MFT
Practice address
2340 Paseo del Prado Ste D301
Las Vegas, NV 89102-4342
Phone
(702) 255-0056
Fax
(702) 255-0076
NPI assigned
Nov 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dr. Sandal Arlillian Kelly, PH.D.
Title
Clinical Director
Phone
(702) 255-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 02001 NV Primary

Addresses

Primary practice location

2340 Paseo del Prado Ste D301
Las Vegas, NV 89102-4342

Mailing address

2340 Paseo del Prado Ste D301
Las Vegas, NV 89102-4342
Phone (702) 255-0056

Other names 1

  • Sandal A. Kelly Ph.D., MFT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Consultations and Counseling Associates Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2340 Paseo del Prado
Ste D301
Las Vegas, NV 89102
Phone (702) 255-0056

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1073768982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PASEO DEL PRADO STE D301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024342",
            "telephone_number": "702-255-0056",
            "fax_number": "702-255-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PASEO DEL PRADO STE D301",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024342",
            "telephone_number": "702-255-0056",
            "fax_number": "702-255-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTATION & COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SANDAL",
        "authorized_official_middle_name": "ARLILLIAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-255-0056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "02001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandal A. Kelly Ph.D., MFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 26, 2010; 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.