Individual provider Active NPI

Carolina Necochea Burgueno

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1295123313
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
5251 W. Racel St
Las Vegas, NV 89131-1180
Phone
(702) 234-1356
NPI assigned
Dec 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

5251 W. Racel St
Las Vegas, NV 89131-1180

Mailing address

5251 W. Racel St
Las Vegas, NV 89131-1180
Phone (702) 285-0436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240831000218 NV Practitioner - Clinical Social Worker 3971042128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
H.O.P.E. Counseling Services LLCGroup PAC ID 2062678642, 7 clinicians

Practice addresses (Care Compare)

601 S Rancho Dr
Suite A10
Las Vegas, NV 89106-4898
Phone (702) 445-5653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
H.O.P.E. Counseling Services LLC CurrentSince Jul 2, 2024 Accepting new patients

Locations

601 S Rancho Dr
Ste A10
Las Vegas, NV 89106
Phone (702) 445-5653

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1295123313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 W. RACEL ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311180",
            "telephone_number": "702-285-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 W. RACEL ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311180",
            "telephone_number": "702-234-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGUENO",
        "first_name": "CAROLINA",
        "middle_name": "NECOCHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.