Organization Active NPI

Ascending Minds LV

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1356026454
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ASCENDING MINDS LV
Practice address
5510 S Fort Apache Rd Ste 458
Las Vegas, NV 89148-7700
Phone
(347) 517-9485
NPI assigned
Jun 16, 2023
Last updated
Jun 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Authorized official

Name
Kaydian WooleryNPI 1619536588
Title
Manager
Phone
(347) 517-9485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5510 S Fort Apache Rd Ste 458
Las Vegas, NV 89148-7700

Mailing address

5510 S Fort Apache Rd Ste 458
Las Vegas, NV 89148-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241007000171 NV Part B Supplier - Clinic/Group Practice 5395104293 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5510 S Fort Apache Rd
Ste 458
Las Vegas, NV 89148
Phone (347) 517-9485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687046400000",
    "number": "1356026454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 S FORT APACHE RD STE 458",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 S FORT APACHE RD STE 458",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891487700",
            "telephone_number": "347-517-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENDING MINDS LV",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A",
        "authorized_official_last_name": "WOOLERY",
        "authorized_official_first_name": "KAYDIAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "347-517-9485"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "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 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.