Organization Active NPI

Essence Behavioral Health

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1215329255
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6441-C Issued in NV
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

Updated by the provider on Feb 27, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.