Individual provider Active NPI

Ashley Connell

  • Addiction (Substance Use Disorder) Counselor
  • North Las Vegas, NV
National Provider Identifier
1205348380
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
00444-C Issued in NV
Practice address
3470 W Cheyenne Ave Ste 400
North Las Vegas, NV 89032-8244
Phone
(702) 636-0085
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00444-C NV Primary

Addresses

Primary practice location

3470 W Cheyenne Ave Ste 400
North Las Vegas, NV 89032-8244

Mailing address

PO Box 897
Boise, ID 83701-0897

Other practice location 1

2290 McDaniel St Ste 1C
North Las Vegas, NV 89030-6329
Phone (702) 399-1600

Other practice location 2

3050 E Desert Inn Rd Ste 116
Las Vegas, NV 89121-3872
Phone (702) 796-0660

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
00444-CNVMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1205348380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 897",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837010897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 W CHEYENNE AVE STE 400",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328244",
            "telephone_number": "702-636-0085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2290 McDaniel St Ste 1C",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890306329",
            "country_code": "US",
            "telephone_number": "702-399-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 E Desert Inn Rd Ste 116",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891213872",
            "country_code": "US",
            "telephone_number": "702-796-0660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00444-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.