NPIMap

Organization Active NPI

Pinnacle Mental Health Services Inc

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1215572201
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PINNACLE MENTAL HEALTH SERVICES INC
Practice address
5426 Vegas Dr
Las Vegas, NV 89108-2403
Phone
(702) 806-5286
NPI assigned
Nov 13, 2019
Last updated
Nov 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Kenneth Todd Pehrson, LCSWNPI 1215221957
Title
Owner
Phone
(702) 823-9042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

5426 Vegas Dr
Las Vegas, NV 89108-2403

Mailing address

5426 Vegas Dr
Las Vegas, NV 89108-2403

Other identifiers 1

IdentifierTypeStateIssuer
NV20121716669MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL PHONELINE Direct

National Provider Directory

National Provider Directory

Locations

5426 Vegas Dr
Ste A
Las Vegas, NV 89108
Phone (702) 488-8754

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1215572201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 VEGAS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 VEGAS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082403",
            "telephone_number": "702-806-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "PEHRSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-823-9042",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NV20121716669",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "PHONELINE",
            "affiliation": "N",
            "endpointDescription": "FAX",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5426 Vegas Dr",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891082403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 14, 2019; 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.