Organization Active NPI

Professional Recovery Network

Doing business as Nvphp

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
National Provider Identifier
1174303036
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PROFESSIONAL RECOVERY NETWORK
Doing business as
Nvphp
Practice address
7473 W Lake Mead Blvd Ste 213
Las Vegas, NV 89128-0265
Phone
(702) 562-1230
Fax
(702) 410-2657
NPI assigned
Sep 28, 2023
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Dr. Mark Chase, PHD, MBA, LADC, MFTI
Title
Therapist/Owner
Phone
(702) 562-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

7473 W Lake Mead Blvd Ste 213
Las Vegas, NV 89128-0265

Mailing address

7473 W Lake Mead Blvd Ste 213
Las Vegas, NV 89128-0265
Phone (702) 562-1230

Other names 1

  • NVPHP Doing business as

National Provider Directory

National Provider Directory

Locations

7473 W Lake Mead Blvd
Ste 213
Las Vegas, NV 89128
Phone (702) 562-1230

Practitioners & affiliated clinicians

Practitioners 1

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": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1174303036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7473 W LAKE MEAD BLVD STE 213",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280265",
            "telephone_number": "702-562-1230",
            "fax_number": "702-410-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7473 W LAKE MEAD BLVD STE 213",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280265",
            "telephone_number": "702-562-1230",
            "fax_number": "702-410-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL RECOVERY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "702-562-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MBA, LADC, MFTI"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NVPHP",
            "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 May 7, 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.

Verify at the official NPI Registry.