Individual provider Active NPI

Mycole Whitney Phu-Muns

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
National Provider Identifier
1225539554
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
07147-LCI Issued in NV
Practice address
714 E Sahara Ave
Las Vegas, NV 89104-2942
Phone
(702) 369-8700
Fax
(702) 369-8489
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CI5150 NV
Addiction (Substance Use Disorder) Counselor 101YA0400X 07147-LCI NV Primary

Addresses

Primary practice location

714 E Sahara Ave
Las Vegas, NV 89104-2942

Mailing address

714 E Sahara Ave
Las Vegas, NV 89104-2942
Phone (702) 369-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4045 Spencer St
A48
Las Vegas, NV 89119-5245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07147-LCINVMDAddiction (Substance Use Disorder) Counselor
CI5150NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vegas Valley Comprehensive Counseling, LLC Mental Health CurrentSince Aug 20, 2025 Accepting new patients
Lake Whatcom Residential & Treatment Center Mental Health PastSince Oct 27, 2007 Accepting new patients
Lake Whatcom Residential & Treatment Center Past Accepting new patients
Community Counseling Center Past Accepting new patients

Locations

4045 Spencer St
Ste A48
Las Vegas, NV 89119
Phone (702) 483-8260

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1225539554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042942",
            "telephone_number": "702-369-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042942",
            "telephone_number": "702-369-8700",
            "fax_number": "702-369-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHU-MUNS",
        "first_name": "MYCOLE",
        "middle_name": "WHITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5150",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "07147-LCI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.