Active NPI
Accomplished Enterprises Inc
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1275018566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- ACCOMPLISHED ENTERPRISES INC
- Practice address
- 2797 S Maryland Pkwy Ste 13
Las Vegas, NV 89109-1576 - Phone
- (702) 210-9896
- NPI assigned
- Oct 2, 2018
- Last updated
- Oct 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Philip A Ojo
- Title
- Ceo
- Phone
- (702) 210-9896
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary | |
| Mental Health Counselor | 101YM0800X | NU |
Addresses
Primary practice location
2797 S Maryland Pkwy Ste 13
Las Vegas, NV 89109-1576
Mailing address
2797 S Maryland Pkwy Ste 13
Las Vegas, NV 89109-1576
Phone (702) 210-9896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E0438912018-1 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
2797 S Maryland Pkwy
Ste 13
Las Vegas, NV 89109
Phone (702) 210-9896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538438400000",
"number": "1275018566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2797 S MARYLAND PKWY STE 13",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091576",
"telephone_number": "702-210-9896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2797 S MARYLAND PKWY STE 13",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891091576",
"telephone_number": "702-210-9896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCOMPLISHED ENTERPRISES INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A",
"authorized_official_last_name": "OJO",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-210-9896"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E0438912018-1",
"state": "NV"
}
],
"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 Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.