Active NPI
Jenna Tolentino
- Social Worker
- Las Vegas, NV
National Provider Identifier
1265166698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2965 S Jones Blvd Ste C
Las Vegas, NV 89146-5606 - Phone
- (702) 471-0420
- NPI assigned
- Jul 12, 2022
- Last updated
- Aug 19, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Social Worker | 104100000X | NU | Primary | |
| Clinical Social Worker | 1041C0700X | NU |
Addresses
Primary practice location
2965 S Jones Blvd Ste C
Las Vegas, NV 89146-5606
Mailing address
2965 S Jones Blvd Ste C
Las Vegas, NV 89146-5606
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1265166698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2965 S JONES BLVD STE C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2965 S JONES BLVD STE C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465606",
"telephone_number": "702-471-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLENTINO",
"first_name": "JENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"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 Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.