Organization Active NPI

Trailways, Inc

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1285004846
Registry record updated Sep 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5980-C Issued in NV
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

Updated by the provider on Sep 25, 2015

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.