NPIMap

Organization Active NPI

Enlightened Path

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1083150379
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2002981062101 Issued in NV
Legal business name
ENLIGHTENED PATH
Practice address
5544 Myron Cir
Las Vegas, NV 89142-1123
Phone
(505) 814-9745
NPI assigned
Jan 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Mr. Yauncay J Lucas
Title
Cfo/Ceo
Phone
(505) 814-9745

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2002981062101 NV Primary

Addresses

Primary practice location

5544 Myron Cir
Las Vegas, NV 89142-1123

Mailing address

5544 Myron Cir
Las Vegas, NV 89142-1123

National Provider Directory

National Provider Directory
Tax ID family
Enlightened Path2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1083150379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5544 MYRON CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891421123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 MYRON CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891421123",
            "telephone_number": "505-814-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED PATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "YAUNCAY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO/CEO",
        "authorized_official_telephone_number": "505-814-9745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "2002981062101",
            "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 Jan 11, 2017; 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.