Kenneth Cunningham, LCSW - INTERN

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

IC1352 Issued in NV

Practice address

3371 N Buffalo Dr
Las Vegas, NV 89129

Phone

(702) 515-1373

NPI assigned

Apr 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Central Recovery Treatment LLC

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1255408514
  NPD (past)
• J Corey Brown MD Fremont Medical Center LTD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1396722880
  NPD (past)

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555545600000",
    "number": "1326601998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 N BUFFALO DR",
            "address_2": "SUITE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "702-868-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3371 N BUFFALO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "702-515-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KENNETH",
        "credential": "LCSW - INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "IC1352",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "IC1352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farris Yvette Cunningham
• Jamal Ali Cunningham
• Kamari Cunningham
• Kathy J Cunningham
• Kaye A Cunningham, MD
• Kristy Cunningham
• Melissa Cunningham
• Monique Cunningham, MFT INTERN
• Nilajiah Cunningham
• Sarah Cunningham

• Addiction (Substance Use Disorder) Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; 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.