Organization Active NPI

Accomplished Enterprises Inc

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
National Provider Identifier
1275018566
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
E0438912018-1MedicaidNV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.