Quincy Sanders, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

9811 W Charleston Blvd
Ste 2538
Las Vegas, NV 89117

Phone

(702) 418-0944

Fax

(702) 418-1944

NPI assigned

Oct 29, 2010

Sex

Male

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 2

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.

• Bridge the Gap Counseling LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1467055095
  NPD Authorized official
• Bridge the Gap LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1710295860
  NPD (past) Authorized official

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1184924664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 DAWN VIEW LN",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890311675",
            "telephone_number": "702-418-0944",
            "fax_number": "702-418-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD",
            "address_2": "STE 2538",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89117",
            "telephone_number": "702-418-0944",
            "fax_number": "702-418-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "QUINCY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-29",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710295860",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005056211",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKaela Sanders
• Megan Sanders, CADC-P
• Michael Sanders, M.D.
• O'Broderic Mytiawo Sanders II
• Princess Faith Bless Sanders
• Rashard Sanders
• Regina Kay Sanders, BA
• Robert Sanders
• Robert Sanders, CNIM
• Robert Michael Sanders, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.