Active NPI
Kpa Behavioral Health Inc
- Clinical Social Worker
- Las Vegas, NV
National Provider Identifier
1356512271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4833-C
- Legal business name
- KPA BEHAVIORAL HEALTH INC
- Practice address
- 4160 S. Pecos Road, Suite 17
Las Vegas, NV 89121 - Phone
- (702) 685-1899
- NPI assigned
- Mar 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yelena Yekta
- Title
- President
- Phone
- (702) 685-1899
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | 4833-C | NV | Primary |
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
4160 S. Pecos Road, Suite 17
Las Vegas, NV 89121
Mailing address
4160 S. Pecos Road, Suite 17
Las Vegas, NV 89121
Other names 1
- KIDS PROGRESS ACADEMY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205884800000",
"number": "1356512271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4160 S. PECOS ROAD, SUITE 17",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4160 S. PECOS ROAD, SUITE 17",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89121",
"telephone_number": "702-685-1899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KPA BEHAVIORAL HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A",
"authorized_official_last_name": "YEKTA",
"authorized_official_first_name": "YELENA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-685-1899"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "4833-C",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KIDS PROGRESS ACADEMY",
"code": "5",
"type": "Other Name"
}
]
}
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 Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.