Active NPI
Essence Behavioral Health
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1215329255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6441-C
- Legal business name
- ESSENCE BEHAVIORAL HEALTH
- Practice address
- 5404 Lucky Clover St
Las Vegas, NV 89149-2022 - Phone
- (702) 203-7189
- NPI assigned
- Feb 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Luz Alexa Rodriguez, MSW, LCSW
- Title
- License Clinical Social Worker
- Phone
- (702) 748-8034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 6441-C | NV | Primary |
Addresses
Primary practice location
5404 Lucky Clover St
Las Vegas, NV 89149-2022
Mailing address
5404 Lucky Clover St
Las Vegas, NV 89149-2022
Phone (702) 203-7189
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424995200000",
"number": "1215329255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 LUCKY CLOVER ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891492022",
"telephone_number": "702-203-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5404 LUCKY CLOVER ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891492022",
"telephone_number": "702-203-7189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENCE BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-27",
"last_updated": "2015-02-27",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "LUZ ALEXA",
"authorized_official_title_or_position": "LICENSE CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "702-748-8034",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW, LCSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": "6441-C",
"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 Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.