NPIMap

Organization Active NPI

Transition and Life Interventions Academy

  • Mental Illness Community Based Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1265890206
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
NV20161055721 Issued in NV
Legal business name
TRANSITION AND LIFE INTERVENTIONS ACADEMY
Practice address
9916 Markhorn CT
Las Vegas, NV 89149-3741
Phone
(702) 570-3853
NPI assigned
Feb 5, 2016
Last updated
Feb 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Authorized official

Name
Terri Jackson
Title
Owner
Phone
(702) 570-3853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NV20161055721 NV Primary

Addresses

Primary practice location

9916 Markhorn CT
Las Vegas, NV 89149-3741

Mailing address

9916 Markhorn CT
Las Vegas, NV 89149-3741

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1265890206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9916 MARKHORN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9916 MARKHORN CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891493741",
            "telephone_number": "702-570-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITION AND LIFE INTERVENTIONS ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-570-3853"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "NV20161055721",
            "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 Feb 5, 2016; 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.