Individual provider Active NPI

Kierra Kalia Chrisco, QMHA

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1124807334
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
601 S Rancho Dr Ste A10
Las Vegas, NV 89106-4898
Phone
(702) 437-4673
Fax
(702) 438-4673
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

601 S Rancho Dr Ste A10
Las Vegas, NV 89106-4898

Mailing address

5613 Crimson Ridge Dr
Las Vegas, NV 89130-5129
Phone (580) 647-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1124807334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 CRIMSON RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305129",
            "telephone_number": "580-647-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR STE A10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064898",
            "telephone_number": "702-437-4673",
            "fax_number": "702-438-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISCO",
        "first_name": "KIERRA",
        "middle_name": "KALIA",
        "credential": "QMHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.