NPIMap

Organization Active NPI

Mind Heart and Soul Behavior Counseling & Wellness Group

  • Health Maintenance Organization
  • Las Vegas, NV
National Provider Identifier
1376957886
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
251500000X Issued in NV
Legal business name
MIND HEART AND SOUL BEHAVIOR COUNSELING & WELLNESS GROUP
Practice address
1410 Santa Margarita St
Unit H
Las Vegas, NV 89146-2939
Phone
(702) 477-5086
NPI assigned
Jun 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Cedra PerryNPI 1871904110
Title
Ceo
Phone
(702) 477-5086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 251500000X NV Primary

Addresses

Primary practice location

1410 Santa Margarita St
Unit H
Las Vegas, NV 89146-2939

Mailing address

1410 Santa Margarita St
Unit H
Las Vegas, NV 89146-2939
Phone (702) 477-5086

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1376957886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 SANTA MARGARITA ST",
            "address_2": "UNIT H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462939",
            "telephone_number": "702-477-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 SANTA MARGARITA ST",
            "address_2": "UNIT H",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462939",
            "telephone_number": "702-477-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND HEART AND SOUL BEHAVIOR COUNSELING & WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "CEDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-477-5086"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NV",
            "license": "251500000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 12, 2014; 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.