The National Gay and Lesbian Adolescent Social Services

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

THE NATIONAL GAY AND LESBIAN ADOLESCENT SOCIAL SERVICES

Practice address

10175 Spencer St
1072
Las Vegas, NV 89183-6875

Phone

(917) 981-0503

NPI assigned

Apr 24, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Raymond Arthur Besse, QMHA. LMSW, M.DIV

Title

Executive Director

Phone

(917) 981-0503

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GLASS Doing business as

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1245650522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 SPENCER ST",
            "address_2": "1072",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836875",
            "telephone_number": "917-981-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 SPENCER ST",
            "address_2": "1072",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836875",
            "telephone_number": "917-981-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NATIONAL GAY AND LESBIAN ADOLESCENT SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "BESSE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "917-981-0503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "QMHA. LMSW, M.DIV"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702478686089183",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLASS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foster Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Foster Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.