SP Counseling Center, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20151423195 Issued in NV

Legal business name

SP COUNSELING CENTER, LLC

Practice address

40 E Center St
Unit #12
Fallon, NV 89406-3475

Phone

(775) 867-5615

Fax

(775) 867-5616

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

John Phipps

Title

Managing Member

Phone

(702) 629-6340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1235513631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 W CHARLESTON BLVD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469004",
            "telephone_number": "702-629-6340",
            "fax_number": "702-629-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E CENTER ST",
            "address_2": "UNIT #12",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063475",
            "telephone_number": "775-867-5615",
            "fax_number": "775-867-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-629-6340"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20151423195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla L Smith
• Rachel Smith
• Savannah Smith
• Solomon'S Porch
• Jamie T Sotka, RN
• Christine Spradley, RPH
• Antoinette St. Amant
• Susan Louise Stark, LCSW
• Daniel Matthew Stasik, PA-C
• State of Nevada

• Community/Behavioral Health Agency in Fallon, NV
• Providers in Fallon, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.