NPIMap

Organization Active NPI

Mindful Heart Family Health LLC

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
National Provider Identifier
1104390038
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MINDFUL HEART FAMILY HEALTH LLC
Practice address
8670 W Cheyenne Ave Ste 218
Las Vegas, NV 89129
Phone
(678) 515-6507
NPI assigned
Jan 14, 2019
Organization subpart
Yes
Parent organization
MINDFUL HEART FAMILY HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Jikeala Taylor
Title
Chief Executive Officer
Phone
(678) 515-6507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

8670 W Cheyenne Ave Ste 218
Las Vegas, NV 89129

Mailing address

8670 W Cheyenne Ave Ste 218
Las Vegas, NV 89129-7457
Phone (678) 515-6507

Other practice location 1

2780 S Jones Blvd Unit J
Las Vegas, NV 89146-5628
Phone (702) 813-1103

National Provider Directory

National Provider Directory
Tax ID family
Mindful Heart Family Health LLC2 organizations share this tax ID, including this one
Part of
Mindful Heart Family Health LLC

Other organizations with this tax ID 1

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

Locations

2780 S Jones Blvd
Unit J
Las Vegas, NV 89146
Phone (702) 813-1103

8670 W Cheyenne Ave
Ste 218
Las Vegas, NV 89129
Phone (678) 515-6507

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1104390038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVE STE 218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297457",
            "telephone_number": "678-515-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVE STE 218",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "678-515-6507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 S Jones Blvd Unit J",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465628",
            "country_code": "US",
            "telephone_number": "702-813-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL HEART FAMILY HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINDFUL HEART FAMILY HEALTH LLC",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JIKEALA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-515-6507"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "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 Jun 14, 2019; 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.