Organization Active NPI

Pathfinders Therapy and Consulting, PLLC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1326780255
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PATHFINDERS THERAPY AND CONSULTING, PLLC
Practice address
7368 N Decatur Blvd Unit 3
Las Vegas, NV 89131-3070
Phone
(702) 630-3458
NPI assigned
Apr 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Fantanesh Angaw, LCSW
Title
Owner/Clinician
Phone
(702) 630-3458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7368 N Decatur Blvd Unit 3
Las Vegas, NV 89131-3070

Mailing address

4780 W Ann Rd Unit 5-301
North Las Vegas, NV 89031-3470
Phone (702) 630-3458

Other identifiers 1

IdentifierTypeStateIssuer
132474289MedicaidNV

National Provider Directory

National Provider Directory

Locations

4780 W Ann Rd
Unit 5301
North Las Vegas, NV 89031

NPI Registry JSON

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1326780255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 W ANN RD UNIT 5-301",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313470",
            "telephone_number": "702-630-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7368 N DECATUR BLVD UNIT 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313070",
            "telephone_number": "702-630-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDERS THERAPY AND CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "ANGAW",
        "authorized_official_first_name": "FANTANESH",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "702-630-3458",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132474289",
            "state": "NV"
        }
    ],
    "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 Jun 1, 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.