Active NPI
Kyrsten Sprewell
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1265112387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10897-C
- Practice address
- 2320 Paseo del Prado Ste B208
Las Vegas, NV 89102-4332 - Phone
- (702) 685-0877
- Fax
- (702) 749-5922
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CSW008145 | GA | |
| Clinical Social Worker | 1041C0700X | 10897-C | NV | Primary |
Addresses
Primary practice location
2320 Paseo del Prado Ste B208
Las Vegas, NV 89102-4332
Mailing address
995 Fleetwood Cir SW
Atlanta, GA 30311-2500
Phone (678) 457-4927
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW008145 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generational Wellness Center LLC | Current | Accepting new patients | |
| Insight Therapy Solutions LLC | Mental Health | Current | Accepting new patients |
| Spreeisms | Clinical | Current | Accepting new patients |
| Insight Medical Clinicians PA | Mental Health | Current | Accepting new patients |
Locations
2510 E Sunset Rd
Ste 5823
Las Vegas, NV 89120
4760 S Pecos Rd
Ste 103
Las Vegas, NV 89121
Phone (702) 369-9706
2320 Paseo del Prado
Ste B208
Las Vegas, NV 89102
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Las Vegas, NV
- NPI 1639414279
Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
- NPI 1891475919
-
- Clinical Social Worker
- Atlanta, GA
- NPI 1609594522
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1003633603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1265112387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 FLEETWOOD CIR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303112500",
"telephone_number": "678-457-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 PASEO DEL PRADO STE B208",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891024332",
"telephone_number": "702-685-0877",
"fax_number": "702-749-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPREWELL",
"first_name": "KYRSTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "CSW008145",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "10897-C",
"primary": true
}
],
"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 May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.