Organization Active NPI

Clear Minds LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1154746311
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLEAR MINDS LLC
Practice address
4837 Fiesta Lakes St
Las Vegas, NV 89130-2087
Phone
(702) 708-0973
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Nastazia A Guy
Title
Owner
Phone
(702) 445-5466

Specialties & licenses 1

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

Addresses

Primary practice location

4837 Fiesta Lakes St
Las Vegas, NV 89130-2087

Mailing address

4837 Fiesta Lakes St
Las Vegas, NV 89130-2087
Phone (702) 708-0973

Other identifiers 1

IdentifierTypeStateIssuer
251S00000XMedicaidNV

National Provider Directory

National Provider Directory

Locations

3674 N Rancho Dr
#101N
Las Vegas, NV 89130
Phone (702) 722-6644

3636 Las Vegas Blvd N
Las Vegas, NV 89115
Phone (702) 722-6644

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": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1154746311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4837 FIESTA LAKES ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302087",
            "telephone_number": "702-708-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 FIESTA LAKES ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302087",
            "telephone_number": "702-708-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "NASTAZIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-445-5466"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251S00000X",
            "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 Feb 25, 2014; 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.