Organization Active NPI

Sabrina Santa Clara, PLLC

Doing business as Centers for Integrated Wellness

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1235687575
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP0097 Issued in NV
Legal business name
SABRINA SANTA CLARA, PLLC
Doing business as
Centers for Integrated Wellness
Practice address
4252 Vader Ave
Studio
Las Vegas, NV 89120-2138
Phone
(951) 378-5868
NPI assigned
Sep 15, 2016
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Sabrina Shireen Santa Clara, LCPCNPI 1740503267
Title
Owner
Phone
(951) 378-5868

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CP0097 NV Primary

Addresses

Primary practice location

4252 Vader Ave
Studio
Las Vegas, NV 89120-2138

Mailing address

4252 Vader Ave
Studio
Las Vegas, NV 89120-2138
Phone (951) 378-5868

Other identifiers 1

IdentifierTypeStateIssuer
1740503267OtherNVNPPES - INDIVIDUAL NPI

Other names 1

  • Centers for Integrated Wellness Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1235687575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4252 VADER AVE",
            "address_2": "STUDIO",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202138",
            "telephone_number": "951-378-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 VADER AVE",
            "address_2": "STUDIO",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202138",
            "telephone_number": "951-378-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABRINA SANTA CLARA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "SANTA CLARA",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "SHIREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-378-5868",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP0097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES - INDIVIDUAL NPI",
            "identifier": "1740503267",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centers for Integrated Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 2016; 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.