Individual provider Active NPI

Anthony Fitzgerald Harris, LSW LADC CSWI MSW

  • Social Worker
  • Las Vegas, NV
National Provider Identifier
1407046535
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
4913S Issued in NV
Practice address
2965 S Jones Blvd
Suite E1
Las Vegas, NV 89146
Phone
(702) 733-8098
Fax
(702) 395-6457
NPI assigned
Jul 25, 2007
Last updated
Aug 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01168-L NV
Social Worker 104100000X 4913S NV Primary
Clinical Social Worker 1041C0700X IC-504 NV

Addresses

Primary practice location

2965 S Jones Blvd
Suite E1
Las Vegas, NV 89146

Mailing address

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

Other practice location 1

2920 N Green Valley Pkwy Ste 312
Henderson, NV 89014-0412
Phone (702) 935-0025

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
I20170809001959 NV Practitioner - Clinical Social Worker 0749557544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oasis Counseling LLCGroup PAC ID 3971752684, 20 clinicians

Practice addresses (Care Compare)

2360 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-5082
Phone (702) 294-0433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01168-LNVMDAddiction (Substance Use Disorder) Counselor
4913SNVMDSocial Worker
IC-504NVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Counseling LLC Addiction (Substance Use Disorder) CurrentSince Jun 23, 2023 Accepting new patients
Behavioral Health Solutions LLC Addiction (Substance Use Disorder) CurrentSince Oct 1, 2020 Accepting new patients
Integrative Health & Healing, Inc CurrentSince Jan 5, 2025 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Oct 1, 2020 Accepting new patients
Power Center Community Development Corporation Clinical CurrentSince Dec 16, 2020 Accepting new patients
Diversified Community Services, CDC PastSince Jun 10, 2017 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

2360 W Horizon Ridge Pkwy
Ste 120
Henderson, NV 89052
Phone (702) 518-7629

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

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1407046535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD STE 115D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-935-0025",
            "fax_number": "702-935-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2965 S JONES BLVD",
            "address_2": "SUITE E1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-733-8098",
            "fax_number": "702-395-6457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 N Green Valley Pkwy Ste 312",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890140412",
            "country_code": "US",
            "telephone_number": "702-935-0025",
            "fax_number": "702-935-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ANTHONY",
        "middle_name": "FITZGERALD",
        "name_prefix": "Mr.",
        "credential": "LSW LADC CSWI MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01168-L",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NV",
            "license": "4913S",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-504",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.