Active NPI
Second Chance Empowerment Center
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1093411795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SECOND CHANCE EMPOWERMENT CENTER
- Practice address
- 3810 Tundra Swan St
Las Vegas, NV 89122-3536 - Phone
- (702) 741-3784
- NPI assigned
- Feb 3, 2023
- 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
- Carmon Scott
- Title
- Ceo
- Phone
- (702) 741-3784
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
3810 Tundra Swan St
Las Vegas, NV 89122-3536
Mailing address
3810 Tundra Swan St
Las Vegas, NV 89122-3536
Phone (702) 741-3784
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675382400000",
"number": "1093411795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 TUNDRA SWAN ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891223536",
"telephone_number": "702-741-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 TUNDRA SWAN ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891223536",
"telephone_number": "702-741-3784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECOND CHANCE EMPOWERMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "CARMON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-741-3784"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral 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 Feb 3, 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.