Active NPI
Stars CDC
- Case Management Agency
- Las Vegas, NV
National Provider Identifier
1245681790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 251B0000X
- Legal business name
- STARS CDC
- Practice address
- 3540 Swenson St
Las Vegas, NV 89169-9335 - Phone
- (702) 303-9269
- Fax
- (702) 685-2500
- NPI assigned
- Jun 27, 2016
- Last updated
- Jun 27, 2016
- 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
- Ms. Lekisha Renee Hayes
- Title
- Ceo
- Phone
- (702) 303-9269
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1041S0200X | NV | |
| Case Management Agency | 251B00000X | 251B0000X | NV | Primary |
| Community/Behavioral Health Agency | 251S00000X | 251S00000X | NV |
Addresses
Primary practice location
3540 Swenson St
Las Vegas, NV 89169-9335
Mailing address
3540 Swenson St
Las Vegas, NV 89169-9335
Phone (702) 303-9269
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466985600000",
"number": "1245681790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 SWENSON ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891699335",
"telephone_number": "702-303-9269",
"fax_number": "702-685-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 SWENSON ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891699335",
"telephone_number": "702-303-9269",
"fax_number": "702-685-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARS CDC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-27",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "LEKISHA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-303-9269",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "1041S0200X",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NV",
"license": "251B0000X",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": "251S00000X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- Coreen Schwartz Starr, PSY. D.
- Matthew Starr
- Matthew Lee Starr, DO
- Dawn Marie Starrett, PHD
- Stars Achievement Center LLC
- Stars Dental
- Start 2 Day
- Start Fresh Alcohol Recovery Clinic, Inc (Start Fresh Recovery Las Vegas)
- Mark Stasiewicz, M.D.
- State Medical Equipment Limited Liability Company (State Medical Equipment)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.