Active NPI
Radiant Hope Behavioral Services LLC
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1215534276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RADIANT HOPE BEHAVIORAL SERVICES LLC
- Practice address
- 3130 S Rainbow Blvd Ste 304B
Las Vegas, NV 89146-6212 - Phone
- (702) 202-3374
- NPI assigned
- Oct 2, 2020
- 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
- Edward Gamboa
- Title
- Ceo
- Phone
- (702) 202-3848
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
3130 S Rainbow Blvd Ste 304B
Las Vegas, NV 89146-6212
Mailing address
3130 S Rainbow Blvd Ste 304B
Las Vegas, NV 89146-6212
Phone (702) 202-3374
Other names 1
- n/a
National Provider Directory
National Provider DirectoryLocations
3130 S Rainbow Blvd
Ste 304B
Las Vegas, NV 89146
Phone (702) 202-3374
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Technician
- Las Vegas, NV
- NPI 1366070369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601596800000",
"number": "1215534276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 S RAINBOW BLVD STE 304B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466212",
"telephone_number": "702-202-3374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 S RAINBOW BLVD STE 304B",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466212",
"telephone_number": "702-202-3374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT HOPE BEHAVIORAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-02",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A",
"authorized_official_last_name": "GAMBOA",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-202-3848"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "n/a",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.