Organization Active NPI

Counseling and Awareness Rehabilitative Educatioanl Program Inc.

  • Addiction (Substance Use Disorder) Psychologist
  • Las Vegas, NV
National Provider Identifier
1366744310
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
L791 Issued in NV
Legal business name
COUNSELING AND AWARENESS REHABILITATIVE EDUCATIOANL PROGRAM INC.
Doing business as
Care Transitional Services
Practice address
1240 W Owens Ave
Ste. 3
Las Vegas, NV 89106-2452
Phone
(702) 877-9850
Fax
(702) 877-9870
NPI assigned
Nov 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Ms. Penny Ann Jackson, M.A., LADC, SUP
Title
Director/ Mental Health Counselor
Phone
(702) 877-9850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X L791 NV Primary

Addresses

Primary practice location

1240 W Owens Ave
Ste. 3
Las Vegas, NV 89106-2452

Mailing address

1240 W Owens Ave
Ste. 3
Las Vegas, NV 89106-2452
Phone (702) 877-9850

Other names 1

  • Care Transitional Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Counseling and Awareness Rehabilitative Educatioanl Program Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1240 W Owens Ave
Ste 3
Las Vegas, NV 89106
Phone (702) 483-3100

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1366744310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 W OWENS AVE",
            "address_2": "STE. 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062452",
            "telephone_number": "702-877-9850",
            "fax_number": "702-877-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W OWENS AVE",
            "address_2": "STE. 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062452",
            "telephone_number": "702-877-9850",
            "fax_number": "702-877-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND AWARENESS REHABILITATIVE EDUCATIOANL PROGRAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR/ MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "702-877-9850",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., LADC, SUP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "L791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Transitional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 24, 2010; 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.