Jodi Augustine, CPC
Individual provider Active NPI Counselor · Las Vegas, NV
NPI 1316518152 · NPPES record last updated Jul 2, 2021
Key facts
- NPI
- 1316518152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- C15017 (NV)
- Practice address
- 4455 S Pecos Rd Ste C
Las Vegas, NV 89121-5029 - Phone
- (702) 234-4934
- NPI assigned
- Jul 2, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C15017 | NV | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C15017 | NV | Yes |
Addresses
Primary practice location
4455 S Pecos Rd Ste C
Las Vegas, NV 89121-5029
Mailing address
1771 Antelope Valley Ave
Henderson, NV 89012-3408
Phone (702) 234-4934
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | thehealingcentervegas@gmail.com | Direct |
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.