Lora Charlene Van Matre

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3430 E Flamingo Rd
Las Vegas, NV 89121-5003

Phone

(702) 749-3200

Fax

(702) 749-3202

NPI assigned

Sep 30, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charleston Residential Services LLC

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1790253060
  NPD (past)

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1174926489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 ASPEN CLIFF DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890112523",
            "telephone_number": "740-777-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215003",
            "telephone_number": "702-749-3200",
            "fax_number": "702-749-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MATRE",
        "first_name": "LORA",
        "middle_name": "CHARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Gabrielle Van Gorden
• Van Gorder & Associates, Inc.
• Nakisha Van Heflin
• Lawrence Van Hoose
• Brian J Van Houten
• Kimberly Alice Van Meter, RN
• Van Nguyen LLC Pac
• Dustin D Van Orman, PA
• Hannah Van Reek
• Linda Sue Van Roeyen, APRN

• Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.