Candice Ann Contreras, QBA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

274455064 Issued in NV

Practice address

5715 W Alexander Rd
Suite 155
Las Vegas, NV 89130-2807

Phone

(702) 586-8693

Fax

(702) 476-2690

NPI assigned

Nov 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1124305271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 LANGTRY DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072019",
            "telephone_number": "702-586-8693",
            "fax_number": "702-476-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 W ALEXANDER RD",
            "address_2": "SUITE 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302807",
            "telephone_number": "702-586-8693",
            "fax_number": "702-476-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "CANDICE",
        "middle_name": "ANN",
        "credential": "QBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "274455064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274455064",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus Contreras-Vega
• Alexander Contreras
• Amanda Lucrecia Contreras
• Antonia Contreras
• Ariana Contreras
• Catherine Contreras, CADC
• Catherine P Contreras
• Crystal Vivian Contreras
• Daniel Contreras
• Edith Contreras

• Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.