Organization Active NPI

Stars CDC

  • Case Management Agency
  • Las Vegas, NV
National Provider Identifier
1245681790
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
251B0000X Issued in NV
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.