Active NPI
Care Behavioral Clinic LLC
- Mental Health Counselor
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CARE BEHAVIORAL CLINIC LLC
- Practice address
- 5346 Tipper Ave
Las Vegas, NV 89122-6966 - Phone
- (858) 242-8703
- NPI assigned
- Feb 20, 2021
- 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
- Rolly Taguinod Quilang
- Title
- Member
- Phone
- (858) 242-8703
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
5346 Tipper Ave
Las Vegas, NV 89122-6966
Mailing address
5346 Tipper Ave
Las Vegas, NV 89122-6966
Phone (858) 242-8703
National Provider Directory
National Provider Directory- Tax ID family
- Care Behavioral Clinic LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1881384204
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1881384204
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": "1613779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613779200000",
"number": "1396339339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5346 TIPPER AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891226966",
"telephone_number": "858-242-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5346 TIPPER AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891226966",
"telephone_number": "858-242-8703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE BEHAVIORAL CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-20",
"last_updated": "2021-02-20",
"certification_date": "2021-02-20",
"status": "A",
"authorized_official_last_name": "QUILANG",
"authorized_official_first_name": "ROLLY",
"authorized_official_middle_name": "TAGUINOD",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "858-242-8703"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Feb 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.