Individual provider Active NPI

Gregory D Burden, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1215174156
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3096-C Issued in NV
Practice address
2780 S Jones Blvd Ste 115
Las Vegas, NV 89146-5625
Phone
(702) 323-1323
Fax
(702) 405-6036
NPI assigned
Jan 14, 2009
Last updated
May 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3096-C NV Primary

Addresses

Primary practice location

2780 S Jones Blvd Ste 115
Las Vegas, NV 89146-5625

Mailing address

6021 Sundial Crest CT
Las Vegas, NV 89120-2561
Phone (702) 289-9732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • 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
I20110211000553 NV Practitioner - Clinical Social Worker 4688854318 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicultural Counseling Collaborative IncGroup PAC ID 0042562845, 2 clinicians

Practice addresses (Care Compare)

2920 S Jones Blvd
Suite 225
Las Vegas, NV 89146-5622
Phone (702) 476-6395

83 Parker Ranch Dr
Henderson, NV 89012-2613
Phone (702) 401-2111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newway Neurotherapy Health and Wellness CurrentSince Jun 29, 2019 Accepting new patients
Nevada Cares Behavioral Health LLC CurrentSince Apr 16, 2023 Accepting new patients
Newway Neurotherapy Health and Wellness CurrentSince Jun 29, 2019 Accepting new patients
Multicultural Counseling Collaborative, Inc. CurrentSince Feb 14, 2024 Accepting new patients
Balanced Mind Centers LLC PastSince Dec 23, 2017 Accepting new patients
Mental Wellness Solutions LLC PastSince Feb 24, 2022 Accepting new patients
Balanced Mind Centers LLC Past Accepting new patients

Locations

2785 E Desert Inn Rd
Ste 230
Las Vegas, NV 89121
Phone (702) 741-1938

2920 S Jones Blvd
Ste 225
Las Vegas, NV 89146
Phone (702) 476-6395

5130 S Pecos Rd
Ste 1B
Las Vegas, NV 89120
Phone (702) 410-5090

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1215174156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 SUNDIAL CREST CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202561",
            "telephone_number": "702-289-9732",
            "fax_number": "702-405-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-323-1323",
            "fax_number": "702-405-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "3096-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.