Individual provider Active NPI

Ronald D Faggins, M.ED

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1265671895
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP5312 Issued in NV
Practice address
Hard Knox Rehabilitation and Mentoring Service
7473 W Lake Mead Blvd
Las Vegas, NV 89128
Phone
(702) 562-1288
NPI assigned
Feb 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 CP5312 NV Primary

Addresses

Primary practice location

Hard Knox Rehabilitation and Mentoring Service
7473 W Lake Mead Blvd
Las Vegas, NV 89128

Mailing address

8461 Farm Rd Ste 120
Las Vegas, NV 89131-8306
Phone (215) 651-5654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241121004599 NV Practitioner - Mental Health Counselor 7214462639 Reassigns benefits to 3 organizations
I20251202001520 NJ Practitioner - Mental Health Counselor 7214462639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

8215 S Eastern Ave
Suite 109
Las Vegas, NV 89123-2515
Phone (775) 902-8300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group of New Jersey PC Mental Health CurrentSince Oct 30, 2025 Accepting new patients
Mindfulness Integrated Healthcare Odiwo PLLC CurrentSince Dec 14, 2025 Accepting new patients
Mindful Therapy Group PC Mental Health CurrentSince Jun 26, 2025 Accepting new patients
Elevating to New Heights LLC Past Accepting new patients

Locations

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

8215 S Eastern Ave
Ste 109
Las Vegas, NV 89123
Phone (775) 902-8300

8440 W Lake Mead Blvd
Ste 208
Las Vegas, NV 89128
Phone (702) 703-5262

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 6

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": "1233705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1265671895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8461 FARM RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318306",
            "telephone_number": "215-651-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARD KNOX REHABILITATION AND MENTORING SERVICE",
            "address_2": "7473 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-562-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGGINS",
        "first_name": "RONALD",
        "middle_name": "D",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-04",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP5312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.