Active NPI
Pathfinders Therapy and Consulting, PLLC
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1326780255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 132474289 | Medicaid | NV |
National Provider Directory
National Provider DirectoryLocations
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.