Organization Active NPI

KC West LCSW Clinical Counseling Services

Doing business as Clinical Counseling Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1144754870
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20151300623 Issued in NV
Legal business name
KC WEST LCSW CLINICAL COUNSELING SERVICES
Doing business as
Clinical Counseling Services
Practice address
8766 S Maryland Pkwy Ste 107
Las Vegas, NV 89123-6701
Phone
(702) 467-7256
Fax
(844) 965-9650
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
KC Jo West, LCSWNPI 1376945758
Title
Owner
Phone
(702) 467-7256

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20151300623 NV Primary

Addresses

Primary practice location

8766 S Maryland Pkwy Ste 107
Las Vegas, NV 89123-6701

Mailing address

8766 S Maryland Pkwy Ste 107
Las Vegas, NV 89123-6701
Phone (702) 467-7256

Other names 1

  • Clinical Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201110001890 UT Part B Supplier - Clinic/Group Practice 0446680300 Receives reassigned benefits from 1 practitioner
Practice locations: St George, UT

National Provider Directory

National Provider Directory

Locations

8766 S Maryland Pkwy
Ste 107
Las Vegas, NV 89123
Phone (702) 467-7256

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1144754870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8766 S MARYLAND PKWY STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236701",
            "telephone_number": "702-467-7256",
            "fax_number": "844-965-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8766 S MARYLAND PKWY STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891236701",
            "telephone_number": "702-467-7256",
            "fax_number": "844-965-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC WEST LCSW CLINICAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KC",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-467-7256",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20151300623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.