Active NPI
Inez NMN Staten
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1326343591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MI0156
- Practice address
- 7381 Prairie Falcon Rd
Las Vegas, NV 89128-0811 - Phone
- (702) 468-1321
- Fax
- (702) 243-3757
- NPI assigned
- Jan 20, 2011
- Last updated
- Jan 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00100-L | NV | |
| Counselor | 101Y00000X | 00102-IG | NV | |
| Mental Health Counselor | 101YM0800X | MI0156 | NV | Primary |
| Mental Health Counselor | 101YM0800X | 00265-S | NV | |
| Community Health Worker | 172V00000X | 131AL-5 | NV |
Addresses
Primary practice location
7381 Prairie Falcon Rd
Las Vegas, NV 89128-0811
Mailing address
7381 Prairie Falcon Road
Suite 120
Las Vegas, NV 89128
Phone (702) 468-1321
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 |
|---|---|---|---|
| 00100-L | NV | MD | Counselor |
| 00102-IG | NV | MD | Counselor |
| 00265-S | NV | MD | Mental Health Counselor |
| MI0156 | NV | MD | Mental Health Counselor |
| 131AL-5 | NV | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295481600000",
"number": "1326343591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7381 PRAIRIE FALCON ROAD",
"address_2": "SUITE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89128",
"telephone_number": "702-468-1321",
"fax_number": "702-243-3757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7381 PRAIRIE FALCON RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280811",
"telephone_number": "702-468-1321",
"fax_number": "702-243-3757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATEN",
"first_name": "INEZ",
"middle_name": "NMN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-20",
"last_updated": "2011-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NV",
"license": "00100-L",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NV",
"license": "00102-IG",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "MI0156",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "00265-S",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NV",
"license": "131AL-5",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
- State of Nevada - Sncas Outpatient (NV St DCFS Sncas Op)
- State of Nevada - Sncas Psych (SNCAS Psych Services)
- State of Nevada Desert Regional Center
- Barbara Jean State, LADC
- Deborha Lynn Staten, D.M.D.
- Stateserv Homecare LLC
- Lormeshia Kay Staton
- Michael Staton, MD
- Tiffany Nicole Stattman
- Kimberly Statum, REGISTED NURSE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.