Maimouna Rose Cantrall, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5885-S Issued in NV

Practice address

1600 E Desert Inn Rd Ste 104
Las Vegas, NV 89169-2505

Phone

(702) 208-2194

NPI assigned

Nov 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Great Mind Counseling and Wellness Center LLC

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1295211126
  NPD (past) Authorized official
• Great Mind Counseling and Wellness Center LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1437668985

  Mental Health

  NPD (past) Authorized official
• Great Mind Counseling and Skill Building Center LLC

  • Multi-Specialty Clinic/Center
  • San Bernardino, CA
  • NPI 1801604277
  NPD (past) Authorized official

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1174996201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 CANYON CREST DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891230533",
            "telephone_number": "702-589-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E DESERT INN RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692505",
            "telephone_number": "702-208-2194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Desert Inn Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891692525",
            "country_code": "US",
            "telephone_number": "702-589-0701",
            "fax_number": "702-589-0701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "767 Canyon Crest Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891230533",
            "country_code": "US",
            "telephone_number": "702-589-0701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRALL",
        "first_name": "MAIMOUNA",
        "middle_name": "ROSE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "5885-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5885-S",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Canton
• Jhoan Sebastian Cantor Fuquen
• Yanela Cantor
• Desiree C Cantorna-Ibarra, LCPC, CADC-I
• Mason Cantorna
• Corinna Lyn Cantrell
• Davina Cantrell
• Lisa Cantrell
• Melissa Ann Cantrell
• Michael Cantrell

• Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.