Active NPI
GLC Wellness Center Health, Inc
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1083424477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- GLC WELLNESS CENTER HEALTH, INC
- Practice address
- 400 S 4TH St Ste 300
Las Vegas, NV 89101-6206 - Phone
- (877) 767-1692
- NPI assigned
- Jan 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Griffin
- Title
- Administrator
- Phone
- (312) 730-4355
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
400 S 4TH St Ste 300
Las Vegas, NV 89101-6206
Mailing address
PO Box 3543
Oak Brook, IL 60522-3543
Phone (877) 767-1692
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1083424477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3543",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605223543",
"telephone_number": "877-767-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S 4TH ST STE 300",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891016206",
"telephone_number": "877-767-1692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLC WELLNESS CENTER HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-08",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "GRIFFIN",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "312-730-4355"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"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 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.