Individual provider Active NPI

Paula Johnson

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1386917334
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CP0263 Issued in NV
Practice address
2780 S Jones Blvd Ste 100a
Las Vegas, NV 89146-5625
Phone
(702) 820-3061
Fax
(702) 935-0008
NPI assigned
Feb 21, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CP0263 NV Primary

Addresses

Primary practice location

2780 S Jones Blvd Ste 100a
Las Vegas, NV 89146-5625

Mailing address

2780 S Jones Blvd Ste 100a
Las Vegas, NV 89146-5625
Phone (702) 820-3061

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
I20250117000957 NV Practitioner - Mental Health Counselor 0648708735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Nova Southeastern College of Osteo Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Life Coaching LLCGroup PAC ID 4981969771, 8 clinicians

Practice addresses (Care Compare)

2780 S Jones Blvd
Suite 115D
Las Vegas, NV 89146-5625
Phone (702) 935-0025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
True Life Coaching LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

2920 N Green Valley Pkwy
Ste 312
Henderson, NV 89014
Phone (702) 253-1173

2780 S Jones Blvd
Ste 205
Las Vegas, NV 89146
Phone (702) 217-8030

2780 S Jones Blvd
Ste 115D
Las Vegas, NV 89146
Phone (702) 935-0025

2780 S Jones Blvd
Ste 100A
Las Vegas, NV 89146
Phone (702) 233-6694

2550 Nature Park Dr
Ste 210
North Las Vegas, NV 89084
Phone (702) 935-0025

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": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1386917334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-820-3061",
            "fax_number": "702-935-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-820-3061",
            "fax_number": "702-935-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "PAULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP0263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.