Individual provider Active NPI

Taisha Kaaialii

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1083073027
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP0226 Issued in NV
Practice address
8945 W Russell Rd Ste 110
Las Vegas, NV 89148-1225
Phone
(702) 476-9294
Fax
(702) 442-9538
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 387 HI
Mental Health Counselor 101YM0800X CP0226 NV Primary

Addresses

Primary practice location

8945 W Russell Rd Ste 110
Las Vegas, NV 89148-1225

Mailing address

8945 W Russell Rd Ste 110
Las Vegas, NV 89148-1225
Phone (702) 476-9294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117002614 NV Practitioner - Mental Health Counselor 6002268802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8945 W Russell Rd
Suite 110
Las Vegas, NV 89148-1225
Phone (702) 476-9294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP0226NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis New Beginnings LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Genesis New Beginnings LLC CurrentSince Aug 11, 2024 Accepting new patients
Hawaii Center for Children and Families, LLC PastSince Sep 17, 2019 Accepting new patients

Locations

8945 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 476-9294

Interoperability endpoints

  • Direct secure messaging: genesisnewbeginningsllc@148670.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1083073027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481225",
            "telephone_number": "702-476-9294",
            "fax_number": "702-442-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481225",
            "telephone_number": "702-476-9294",
            "fax_number": "702-442-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAIALII",
        "first_name": "TAISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "387",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP0226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.