Caroline Sue Ivens, MA, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CI5523 Issued in NV

Practice address

2780 S Jones Blvd Ste 205
Las Vegas, NV 89146-5659

Phone

(702) 935-0025

Fax

(702) 935-0008

NPI assigned

Jun 12, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education, Master of Arts

State licenses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1356025324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465659",
            "telephone_number": "702-935-0025",
            "fax_number": "702-935-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465659",
            "telephone_number": "702-935-0025",
            "fax_number": "702-935-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVENS",
        "first_name": "CAROLINE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MA, M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250228-001242",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Ivanoff
• Michael Ivanov
• Kateryna Ivanova
• Vanya Ivanova
• Jennifer Ivans
• Emma Iverson
• Jasmine Iverson
• Lisa Iverson
• Sierra Iverson
• James Ivery

• 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 May 13, 2025; 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.