Organization Active NPI

Triumphant Family Services

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1356733174
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
TRIUMPHANT FAMILY SERVICES
Practice address
6396 McLeod Dr Ste 6-8
Las Vegas, NV 89120-4428
Phone
(702) 912-0600
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Patrick Russel
Title
Direct Supervisor
Phone
(702) 912-0600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

6396 McLeod Dr Ste 6-8
Las Vegas, NV 89120-4428

Mailing address

6396 McLeod Dr Ste 6-8
Las Vegas, NV 89120-4428

Other identifiers 1

IdentifierTypeStateIssuer
1154756302MedicaidNV

National Provider Directory

National Provider Directory

Locations

6396 McLeod Dr
Ste 68
Las Vegas, NV 89120
Phone (702) 912-0600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1356733174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6396 MCLEOD DR STE 6-8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 MCLEOD DR STE 6-8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204428",
            "telephone_number": "702-912-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUMPHANT FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "RUSSEL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECT SUPERVISOR",
        "authorized_official_telephone_number": "702-912-0600"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154756302",
            "state": "NV"
        }
    ],
    "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 Mar 3, 2015; 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.