Active NPI
Anvar Eduardo Huizar, BA SOCIOLOGY, AA SBS
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1336586221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1640 Alta Dr Ste 4
Las Vegas, NV 89106 - Phone
- (702) 474-6450
- NPI assigned
- May 31, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Specialist | 174400000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1640 Alta Dr Ste 4
Las Vegas, NV 89106
Mailing address
1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165
Phone (702) 474-6450
Other practice location 1
2801 S Valley View Blvd
Suite 6
Las Vegas, NV 89102-0116
Phone (702) 992-7025
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
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridge Counseling Associates, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f9a6475a-3dbd-47b2-979a-55064cfdbd51/
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1447714076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1336586221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 ALTA DR STE 4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064165",
"telephone_number": "702-474-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 ALTA DR STE 4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89106",
"telephone_number": "702-474-6450"
}
],
"practiceLocations": [
{
"address_1": "2801 S Valley View Blvd",
"address_2": "Suite 6",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891020116",
"country_code": "US",
"telephone_number": "702-992-7025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUIZAR",
"first_name": "ANVAR",
"middle_name": "EDUARDO",
"credential": "BA SOCIOLOGY, AA SBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-31",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.