Active NPI
Michelle Funes
- Professional Counselor
- Henderson, NV
National Provider Identifier
1124895628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CI5349
- Practice address
- 2200 Paseo Verde Pkwy Ste 190
Henderson, NV 89052-2703 - Phone
- (702) 551-4856
- NPI assigned
- Dec 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CI5349 | NV | Primary |
Addresses
Primary practice location
2200 Paseo Verde Pkwy Ste 190
Henderson, NV 89052-2703
Mailing address
1550 W Horizon Ridge Pkwy # 198R
Henderson, NV 89012-3600
Phone (702) 739-4757
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CI5349 | NV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1124895628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 W HORIZON RIDGE PKWY # 198R",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890123600",
"telephone_number": "702-739-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 PASEO VERDE PKWY STE 190",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890522703",
"telephone_number": "702-551-4856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNES",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-06",
"last_updated": "2023-12-06",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CI5349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.