Active NPI
Anthony Fitzgerald Harris, LSW LADC CSWI MSW
- Social Worker
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4913S
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01168-L | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 4913S | NV | MD | Social Worker |
| IC-504 | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Counseling LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Behavioral Health Solutions LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Integrative Health & Healing, Inc | Current | Accepting new patients | |
| Next Level Psychiatry Arizona PLLC | Current | Accepting new patients | |
| Power Center Community Development Corporation | Clinical | Current | Accepting new patients |
| Diversified Community Services, CDC | Past | 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.
-
- Mental Health Counselor
- Henderson, NV
- NPI 1336400951
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Henderson, NV
- NPI 1548765258
Addiction (Substance Use Disorder)
-
dba Whole & Healthy Life Management Services
- Clinical Social Worker
- Las Vegas, NV
- NPI 1932795911
-
dba Integrative Pulmonary Associates
- Pulmonary Disease Physician
- Las Vegas, NV
- NPI 1790975621
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1932703626
-
- Nurse Practitioner
- N Las Vegas, NV
- NPI 1285029033
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.