Rosalia Mendoza, CHAPLAIN

Primary specialty

CounselorTaxonomy code 101Y00000X

License

NV20011356081 Issued in NV

Practice address

3652 N Rancho Dr Ste 102
Las Vegas, NV 89130-3178

Phone

(725) 525-1024

NPI assigned

Dec 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• F.a.M Healing Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pahrump, NV
  • NPI 1649086885
  NPD

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1205643723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 CAROL BAILEY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816809",
            "telephone_number": "702-482-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3652 N RANCHO DR STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303178",
            "telephone_number": "725-525-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ROSALIA",
        "credential": "CHAPLAIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NV",
            "license": "NV20011356081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Mendoza
• Paula-Quetzal Rosalinda Mendoza
• Ponciana Mendoza
• Priscilla Mendoza
• Rebecca A Mendoza
• Suanny Mendoza
• Tammy Mendoza
• Victor Gustavo Mendoza
• Yesenia Iveth Mendoza
• Yolanda Mendoza

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.