Organization Active NPI

Open Arms Counseling LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
National Provider Identifier
1306241773
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OPEN ARMS COUNSELING LLC
Practice address
211 W Atlantic Ave
Henderson, NV 89015-7102
Phone
(702) 823-4300
Fax
(702) 906-1844
NPI assigned
Oct 28, 2014
Last updated
Aug 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Stacy Jean Holbrook, MFTINPI 1871887026
Title
Owner
Phone
(702) 241-7492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

211 W Atlantic Ave
Henderson, NV 89015-7102

Mailing address

302 S Water St
Henderson, NV 89015-7311
Phone (702) 241-7492

Other identifiers 1

IdentifierTypeStateIssuer
1851733042MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Open Arms Counseling LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

302 S Water St
Henderson, NV 89015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1306241773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S WATER ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157311",
            "telephone_number": "702-241-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W ATLANTIC AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157102",
            "telephone_number": "702-823-4300",
            "fax_number": "702-906-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-241-7492",
        "authorized_official_credential": "MFTI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851733042",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.