Active NPI
Enlightened Healing & Wellness
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Las Vegas, NV
National Provider Identifier
1235935537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ENLIGHTENED HEALING & WELLNESS
- Practice address
- 3191 S Jones Blvd
Las Vegas, NV 89146-6703 - Phone
- (775) 273-8031
- NPI assigned
- Feb 19, 2025
- 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
- Elissa Evans, LCSW
- Title
- Owner/Therapist
- Phone
- (775) 273-8031
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
3191 S Jones Blvd
Las Vegas, NV 89146-6703
Mailing address
PO Box 784
Panaca, NV 89042-0784
Phone (775) 273-8031
Other practice location 1
1005 Main Street Ste. 101
Panaca, NV 89042
Phone (775) 273-8031
National Provider Directory
National Provider DirectoryLocations
3191 S Jones Blvd
Las Vegas, NV 89146
Phone (775) 273-8031
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Cedar City, UT
- NPI 1790331858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739923200000",
"number": "1235935537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 784",
"city": "PANACA",
"state": "NV",
"postal_code": "890420784",
"telephone_number": "775-273-8031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3191 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466703",
"telephone_number": "775-273-8031"
}
],
"practiceLocations": [
{
"address_1": "1005 Main Street Ste. 101",
"address_purpose": "LOCATION",
"city": "Panaca",
"state": "NV",
"postal_code": "89042",
"country_code": "US",
"telephone_number": "775-273-8031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENLIGHTENED HEALING & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-19",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "ELISSA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "775-273-8031",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.