Individual provider Active NPI

Alejandra Avitia, MA

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1245936566
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CI5241 Issued in NV
Practice address
2445 Fire Mesa St Ste 270
Las Vegas, NV 89128-9015
Phone
(702) 757-8720
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CI5241 NV Primary

Addresses

Primary practice location

2445 Fire Mesa St Ste 270
Las Vegas, NV 89128-9015

Mailing address

2490 N Gateway Rd
Las Vegas, NV 89115-4314
Phone (702) 720-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260424001595 NV Practitioner - Mental Health Counselor 3476020660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1607 E Windmill LN
Las Vegas, NV 89123-1910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CI5241NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Theravada Mental Health LLC CurrentSince Feb 21, 2026 Accepting new patients

Locations

2445 Fire Mesa St
Ste 270
Las Vegas, NV 89128
Phone (702) 212-3008

2701 N Tenaya Way
Ste 200
Las Vegas, NV 89128
Phone (702) 757-8720

1607 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 757-8720

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1245936566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 N GATEWAY RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891154314",
            "telephone_number": "702-720-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 FIRE MESA ST STE 270",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891289015",
            "telephone_number": "702-757-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVITIA",
        "first_name": "ALEJANDRA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.