Individual provider Active NPI

Tery Harper

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1376203604
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1648P-M Issued in NV
Practice address
601 S Rancho Dr Ste A10
Las Vegas, NV 89106-4898
Phone
(702) 437-4673
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1648P-M NV Primary

Addresses

Primary practice location

601 S Rancho Dr Ste A10
Las Vegas, NV 89106-4898

Mailing address

1404 Santa Anita Dr Apt D
Las Vegas, NV 89119-6219
Phone (970) 424-6189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240701001575 NV Practitioner - Clinical Social Worker 7618411737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
H.O.P.E. Counseling Services LLCGroup PAC ID 2062678642, 7 clinicians

Practice addresses (Care Compare)

601 S Rancho Dr
Suite A10
Las Vegas, NV 89106-4898
Phone (702) 445-5653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1648P-MNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
H.O.P.E. Counseling Services LLC Clinical CurrentSince May 4, 2024 Accepting new patients

Locations

601 S Rancho Dr
Ste A10
Las Vegas, NV 89106
Phone (702) 445-5653

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1376203604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 SANTA ANITA DR APT D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196219",
            "telephone_number": "970-424-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR STE A10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064898",
            "telephone_number": "702-437-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "TERY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "1648P-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.