K.G. Behavioral Support Services

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Legal business name

K.G. BEHAVIORAL SUPPORT SERVICES

Practice address

8871 W Flamingo Rd
Suite 202
Las Vegas, NV 89147-8757

Phone

(702) 592-8712

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Krystal T. Griffin, QMHA

Title

Owner

Phone

(702) 592-8712

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1346512159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8871 W FLAMINGO RD",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478757",
            "telephone_number": "702-592-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8871 W FLAMINGO RD",
            "address_2": "SUITE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478757",
            "telephone_number": "702-592-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.G. BEHAVIORAL SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-592-8712",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QMHA"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669778163",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• K & B Health LLC
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• K. a. I Behavioral Health LLC
• K. Rojas, Chartered
• K.a.R.M.a Kindred Ascension, Revitalization Motivational Altruism Inc
• K.Robinson Holdings
• K'S Kare Givers LLC
• K'S Kare LLC
• K&B Counseling Services
• Waylon-Reis Kaai-English

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.