Active NPI
Prevention Gambler Foundation Non Profit
- Pastoral Counselor
- North Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Legal business name
- PREVENTION GAMBLER FOUNDATION NON PROFIT
- Practice address
- 3440 W Chynne Ave Ste 500
North Las Vegas, NV 89032-8224 - Phone
- (954) 860-3216
- NPI assigned
- Sep 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rita Dominguez Roman, GAMBLING COUNSELOR
- Title
- President
- Phone
- (954) 860-3216
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Primary | ||
| Religious Nonmedical Health Care Institution | 282J00000X |
Addresses
Primary practice location
3440 W Chynne Ave Ste 500
North Las Vegas, NV 89032-8224
Mailing address
6285 Angora Peak LN # 89115
Las Vegas, NV 89115-1662
Phone (954) 860-3216
National Provider Directory
National Provider Directory- Tax ID family
- Community Health Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Health Worker
- Las Vegas, NV
- NPI 1720836570
Locations
3440 W Cheyenne Ave
Ste 500
North Las Vegas, NV 89032
Phone (954) 860-3216
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727136000000",
"number": "1144047713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6285 ANGORA PEAK LN # 89115",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891151662",
"telephone_number": "954-860-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 W CHYNNE AVE STE 500",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890328224",
"telephone_number": "954-860-3216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENTION GAMBLER FOUNDATION NON PROFIT",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ ROMAN",
"authorized_official_first_name": "RITA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-860-3216",
"authorized_official_credential": "GAMBLING COUNSELOR"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
},
{
"code": "282J00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Health Care Institution",
"state": null,
"license": null,
"primary": false
}
],
"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 Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.