Fuente de Vida Mental Health Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FUENTE DE VIDA MENTAL HEALTH SERVICES

Practice address

6402 McLeod Dr Ste 5
Las Vegas, NV 89120-4406

Phone

(725) 204-8809

NPI assigned

Feb 1, 2021

Organization subpart

No

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

Authorized official

Name

Perla Sanchez

Title

Manager

Phone

(725) 204-8809

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriela Meraz, MS

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1083008833
  Medicare reassignment Care Compare group NPD
• Margarita Romano, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1205136348
  Medicare reassignment Care Compare group NPD
• Maria Esmeralda Otame, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1215359278
  Medicare reassignment NPD

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1316538465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 MCLEOD DR STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204406",
            "telephone_number": "725-204-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 MCLEOD DR STE 5",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204406",
            "telephone_number": "725-204-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUENTE DE VIDA MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "PERLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "725-204-8809"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250013637",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Draven Fualaau
• Fub LLC
• Lily Bailey Fuchs
• Nicole T Fuchs
• Leona Fudge
• Charaine Fuentebella
• Antonio Fuentecilla
• Evelio Fuentes Alfonso
• Lianet Fuentes de la Torrez
• Patricia Fuentes Diaz

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.