Active NPI
Trailways, Inc
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1285004846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5980-C
- Legal business name
- TRAILWAYS, INC
- Practice address
- 5120 S Pecos Rd
Las Vegas, NV 89120-1299 - Phone
- (702) 560-5973
- Fax
- (888) 753-3302
- NPI assigned
- Sep 25, 2015
- 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
- Charles Ellis, LCSW
- Title
- Ceo
- Phone
- (702) 560-5973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 5980-C | NV | Primary |
Addresses
Primary practice location
5120 S Pecos Rd
Las Vegas, NV 89120-1299
Mailing address
5120 S Pecos Rd
Las Vegas, NV 89120-1299
Phone (702) 560-5973
National Provider Directory
National Provider DirectoryLocations
5120 S Pecos Rd
Las Vegas, NV 89120
Phone (702) 560-5973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443139200000",
"number": "1285004846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 S PECOS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891201299",
"telephone_number": "702-560-5973",
"fax_number": "888-753-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5120 S PECOS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891201299",
"telephone_number": "702-560-5973",
"fax_number": "888-753-3302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAILWAYS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-25",
"last_updated": "2015-09-25",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-560-5973",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "5980-C",
"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 Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.