Mission Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20131118652 Issued in NV

Legal business name

MISSION FAMILY SERVICES

Practice address

3417 Osiana Ave
North Las Vegas, NV 89031-7236

Phone

(702) 232-4380

Fax

(702) 644-0652

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Shell A CarterNPI 1376803585

Title

Executive Director

Phone

(702) 232-4380

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shell Carter

  • Mental Health Counselor
  • North Las Vegas, NV
  • NPI 1376803585
  NPD (past) Authorized official

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1275876757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8670 W CHEYENNE AVENUE",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297457",
            "telephone_number": "702-518-0863",
            "fax_number": "702-644-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 OSIANA AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890317236",
            "telephone_number": "702-232-4380",
            "fax_number": "702-644-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SHELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-232-4380",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20131118652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nerison Miranda, RN
• Diana Mireles, RBT
• Jennifer Mireles
• Issa Seyed Mirmehdi, M.D.
• Missio Dei Enterprises LLC
• Andrae Mitchell
• Azanay Mitchell
• Brandon Mitchell
• James Mitchell, PHARMD
• Jamila Mitchell

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.