Renee R Robinson, CARE MANGER

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

4880 W Montara Cir
Las Vegas, NV 89121-5634

Phone

(702) 830-0240

NPI assigned

Dec 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Renee R Gordon Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Phoenix Behavioral Group LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1104455476
  NPD

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1346908712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043009",
            "telephone_number": "702-830-0240",
            "fax_number": "702-441-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 W MONTARA CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215634",
            "telephone_number": "702-830-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "RENEE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "CARE MANGER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104455476",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.phoenixbehavioralgroup.com",
            "affiliation": "N",
            "endpointDescription": "www.phoenixbehavioralgroup.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4880 W Montara Cir",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891215634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.phoenixbehavioralgroup.com",
            "affiliation": "N",
            "endpointDescription": "www.phoenixbehavioralgroup.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "www.phoenixbehavioralgroup.com",
            "address_1": "4880 W Montara Cir",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891215634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "GORDON",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "CASE MANAGER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paul Christopher Robinson, DO
• Porsha Robinson
• Preston Robinson III
• Raven Robinson
• Regina Cherise Robinson
• Robbin Robinson
• Robert Robinson, MSW, LSW
• Roneicia Robinson
• Rose Robinson
• Rose Marie Robinson

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.