Individual provider Active NPI

Vercillia Jones

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1194149005
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2435 Fire Mesa St # 110
Las Vegas, NV 89128-9009
Phone
(702) 476-3742
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2435 Fire Mesa St # 110
Las Vegas, NV 89128-9009

Mailing address

8379 W Sunset Rd Ste 210
Las Vegas, NV 89113-2243

Other practice location 1

102 W Main
Haskell, OK 74436
Phone (918) 482-4098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815004734 NV Practitioner - Mental Health Counselor 5092253476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthnomic Partners LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

2435 Fire Mesa St
Las Vegas, NV 89128
Phone (702) 204-4947

8379 W Sunset Rd
Ste 210
Las Vegas, NV 89113

2435 Fire Mesa St
#110
Las Vegas, NV 89128
Phone (702) 362-7246

8440 S Eastern Ave
Ste A
Las Vegas, NV 89123
Phone (702) 269-0204

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": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1194149005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8379 W SUNSET RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 FIRE MESA ST # 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289009",
            "telephone_number": "702-476-3742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 W Main",
            "address_purpose": "LOCATION",
            "city": "Haskell",
            "state": "OK",
            "postal_code": "74436",
            "country_code": "US",
            "telephone_number": "918-482-4098",
            "fax_number": "918-482-5136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "VERCILLIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.