Organization Active NPI

T & Z Psychotherapy Practice, LLC

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1114307238
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5580-C Issued in NV
Legal business name
T & Z PSYCHOTHERAPY PRACTICE, LLC
Practice address
5135 Camino Al Norte
Suite 279
North Las Vegas, NV 89031-2387
Phone
(702) 853-6708
Fax
(702) 853-6709
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Cindy Jackson, LCSW
Title
Owner
Phone
(702) 853-6708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 5580-C NV Primary

Addresses

Primary practice location

5135 Camino Al Norte
Suite 279
North Las Vegas, NV 89031-2387

Mailing address

5135 Camino Al Norte
Suite 279
North Las Vegas, NV 89031-2387
Phone (702) 853-6708

National Provider Directory

National Provider Directory

Locations

7495 W Azure Dr
Ste 253
Las Vegas, NV 89130
Phone (702) 460-1721

5135 Camino Al Norte
Ste 279
North Las Vegas, NV 89031
Phone (702) 278-3919

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1114307238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE",
            "address_2": "SUITE 279",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312387",
            "telephone_number": "702-853-6708",
            "fax_number": "702-853-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE",
            "address_2": "SUITE 279",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312387",
            "telephone_number": "702-853-6708",
            "fax_number": "702-853-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & Z PSYCHOTHERAPY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-853-6708",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5580-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North 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 3, 2015; 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.