Active NPI
Counseling and Awareness Rehabilitative Educatioanl Program Inc.
- Addiction (Substance Use Disorder) Psychologist
- Las Vegas, NV
National Provider Identifier
1366744310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- L791
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Addiction (Substance Use Disorder) Psychologist | 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
National Provider Directory
National Provider Directory- Tax ID family
- Counseling and Awareness Rehabilitative Educatioanl Program Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Health Maintenance Organization
- Las Vegas, NV
- NPI 1073844361
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.