Individual provider Active NPI

Joseph Patrick Minnick Jr., LMSW, CADC,CSW-I

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1255958799
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IC-2890 Issued in NV
Practice address
1065 E Flamingo Rd Apt 722
Las Vegas, NV 89119-7453
Phone
(170) 227-5722
NPI assigned
Jul 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 07761-C NV
Mental Health Counselor 101YM0800X IC-2890 NV Primary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 4160-S NV

Addresses

Primary practice location

1065 E Flamingo Rd Apt 722
Las Vegas, NV 89119-7453

Mailing address

1065 E Flamingo Rd Apt 722
Las Vegas, NV 89119-7453
Phone (702) 275-7227

Other practice location 1

2360 W Horizon Ridge Pkwy Ste 120
Ste 120
Henderson, NV 89052-5082
Phone (702) 294-0433

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL socialworkmsw@aol.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
07761-CNVMDAddiction (Substance Use Disorder) Counselor
IC-2890NVMDMental Health Counselor
4160-SNVMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
There Is No Hero in Heroin (Tinhih) PastSince Jul 1, 2024 Accepting new patients
There Is No Hero in Heroin (Tinhih) PastSince Jul 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1255958799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 E FLAMINGO RD APT 722",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197453",
            "telephone_number": "702-275-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E FLAMINGO RD APT 722",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197453",
            "telephone_number": "170-227-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2360 W Horizon Ridge Pkwy Ste 120",
            "address_2": "STE 120",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525082",
            "country_code": "US",
            "telephone_number": "702-294-0433",
            "fax_number": "702-446-8363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINNICK",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LMSW, CADC,CSW-I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "07761-C",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "IC-2890",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NV",
            "license": "4160-S",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "socialworkmsw@aol.com",
            "affiliation": "N",
            "endpointDescription": "socialworkmsw@aol.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2350 S Jones Blvd Ste 226",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891463103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 30, 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.

Verify at the official NPI Registry.