Individual provider Active NPI

Ivana Jelavic, LIMHP, LPCC, LCPC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1326337650
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP5132-R Issued in NV
Practice address
8880 W Sunset Rd Ste 200
Las Vegas, NV 89148-5014
Phone
(702) 805-5360
Fax
(702) 805-5360
NPI assigned
Apr 7, 2011
Last updated
Mar 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1355 NE
Mental Health Counselor 101YM0800X 7716 CA
Mental Health Counselor 101YM0800X CP5132-R NV Primary

Addresses

Primary practice location

8880 W Sunset Rd Ste 200
Las Vegas, NV 89148-5014

Mailing address

8800 W Sunset Rd Ste 200
Las Vegas, NV 89148-4897
Phone (702) 805-5360

Other identifiers 6

IdentifierTypeStateIssuer
96079OtherNEBLUE CROSS BLUE SHIELD
47075636930MedicaidNE
47075636998MedicaidNE
10025734000MedicaidNE
10026038300MedicaidNE
345680000OtherNEMAGELLAN

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

LicenseStateTypeSpecialty
1355NEMDMental Health Counselor
CP5132-RNVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Jul 12, 2023 Accepting new patients
First Step Recovery Center Inc. Mental Health PastSince Oct 1, 1999 Accepting new patients
2ND Home Incorporated PastSince Jul 1, 2020 Accepting new patients
2ND Home Incorporated PastSince Jul 1, 2020 Accepting new patients

Locations

8880 W Sunset Rd
Ste 200
Las Vegas, NV 89148
Phone (480) 581-1998

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1326337650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 W SUNSET RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484897",
            "telephone_number": "702-805-5360",
            "fax_number": "702-805-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 W SUNSET RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485014",
            "telephone_number": "702-805-5360",
            "fax_number": "702-805-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELAVIC",
        "first_name": "IVANA",
        "name_prefix": "Ms.",
        "credential": "LIMHP, LPCC, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1355",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "7716",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP5132-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "96079",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075636930",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075636998",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025734000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026038300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "345680000",
            "state": "NE"
        }
    ],
    "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 Mar 28, 2022; 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.