Individual provider Active NPI

Ana Hernandez-Lee

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1114193422
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2810 W Charleston Blvd Ste 74
Las Vegas, NV 89102-1910
Phone
(725) 291-2700
Fax
(725) 291-2701
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2810 W Charleston Blvd Ste 74
Las Vegas, NV 89102-1910

Mailing address

2810 W Charleston Blvd Ste 74
Las Vegas, NV 89102-1910
Phone (725) 291-2700

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
I20241209001638 NV Practitioner - Mental Health Counselor 3173960804 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
Group practices
Mindwell Counseling and Crisis Services LLCGroup PAC ID 6305284688, 5 clinicians

Practice addresses (Care Compare)

2810 W Charleston Blvd
73 74
Las Vegas, NV 89102-1921
Phone (725) 291-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell Counseling & Crisis Services, LLC Mental Health CurrentSince Nov 25, 2024 Accepting new patients

Locations

2810 W Charleston Blvd
#7374
Las Vegas, NV 89102
Phone (702) 331-2142

2810 W Charleston Blvd
Ste 74
Las Vegas, NV 89102
Phone (702) 331-2142

Organizations & group practices 1

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": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1114193422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 74",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021910",
            "telephone_number": "725-291-2700",
            "fax_number": "725-291-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 W CHARLESTON BLVD STE 74",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021910",
            "telephone_number": "725-291-2700",
            "fax_number": "725-291-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-LEE",
        "first_name": "ANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.