Organization Active NPI

Counseling Services of Nevada

  • Counselor
  • Las Vegas, NV
National Provider Identifier
1154606978
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
COUNSELING SERVICES OF NEVADA
Practice address
4425 S Jones Blvd Ste D3
Las Vegas, NV 89103-3370
Phone
(702) 505-0337
NPI assigned
Oct 12, 2011
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Ms. Bridget Rae Bycina, MS
Title
Managaing Member
Phone
(702) 505-0337

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X

Addresses

Primary practice location

4425 S Jones Blvd Ste D3
Las Vegas, NV 89103-3370

Mailing address

4425 S Jones Blvd Ste D3
Las Vegas, NV 89103-3370
Phone (702) 505-0337

Other identifiers 1

IdentifierTypeStateIssuer
14MedicaidNV

National Provider Directory

National Provider Directory

Locations

4425 S Jones Blvd
Ste D3
Las Vegas, NV 89103
Phone (702) 750-2837

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1154606978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 S JONES BLVD STE D3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033370",
            "telephone_number": "702-505-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 S JONES BLVD STE D3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891033370",
            "telephone_number": "702-505-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING SERVICES OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "BYCINA",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "MANAGAING MEMBER",
        "authorized_official_telephone_number": "702-505-0337",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14",
            "state": "NV"
        }
    ],
    "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 Oct 12, 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.