Active NPI
Altamit Lewis, LCPC
- Professional Counselor
- Las Vegas, NV
National Provider Identifier
1306010392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC3744
- Practice address
- 6532 Gumwood Rd
Las Vegas, NV 89108-4415 - Phone
- (702) 499-6401
- NPI assigned
- Apr 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC3744 | MD | Primary |
Addresses
Primary practice location
6532 Gumwood Rd
Las Vegas, NV 89108-4415
Mailing address
6532 Gumwood Rd
Las Vegas, NV 89108-4415
Phone (702) 499-6401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP0086 | Other | NV | NEVADA BOARD OF EXAMINERS |
| LC3744 | Other | MD | LCPC |
| PRC14337 | Other | DC | DC DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC3744 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Source Energy Consultant Services LLC | Current | Accepting new patients |
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.
-
- Mental Health Counselor
- Las Vegas, NV
- NPI 1841067691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389571200000",
"number": "1306010392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6532 GUMWOOD RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891084415",
"telephone_number": "702-499-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6532 GUMWOOD RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891084415",
"telephone_number": "702-499-6401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ALTAMIT",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-21",
"last_updated": "2014-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC3744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA BOARD OF EXAMINERS",
"identifier": "CP0086",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCPC",
"identifier": "LC3744",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC DEPARTMENT OF HEALTH",
"identifier": "PRC14337",
"state": "DC"
}
],
"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 Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.