Individual provider Active NPI

James Edward Monaghan III, LPC, LAC, CPC, LCADC

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1194090985
Registry record updated Jun 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LP0109 Issued in NV
Practice address
6228 Desert Haven Rd
Las Vegas, NV 89130-3706
Phone
(702) 389-0024
NPI assigned
Mar 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD #226 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X 0390-LC NV
Professional Counselor 101YP2500X LPC #6108 CO
Professional Counselor 101YP2500X LP0109 NV Primary

Addresses

Primary practice location

6228 Desert Haven Rd
Las Vegas, NV 89130-3706

Mailing address

6228 Desert Haven Rd
Las Vegas, NV 89130-3706
Phone (702) 389-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACD #226COMDAddiction (Substance Use Disorder) Counselor
0390-LCNVMDAddiction (Substance Use Disorder) Counselor
LPC #6108COMDProfessional Counselor
LP0109NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Consultin and Counseling LLC Addiction (Substance Use Disorder) PastSince Mar 9, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496534400000",
    "number": "1194090985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6228 DESERT HAVEN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303706",
            "telephone_number": "702-389-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6228 DESERT HAVEN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303706",
            "telephone_number": "702-389-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAGHAN",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "LPC, LAC, CPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-13",
        "last_updated": "2017-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD #226",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "0390-LC",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC #6108",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "LP0109",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 4, 2017; 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.