Individual provider Active NPI

Benson Wanjohi

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1407441405
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
839389 Issued in NV
Practice address
1901 S Jones Blvd
Las Vegas, NV 89146-1260
Phone
(702) 815-1550
NPI assigned
Mar 2, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN88307 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 839389 NV Primary

Addresses

Primary practice location

1901 S Jones Blvd
Las Vegas, NV 89146-1260

Mailing address

5524 Timber Crest Ave
Las Vegas, NV 89131-3693
Phone (785) 408-9274

Other practice location 1

6330 McLeod Dr Ste 3
Las Vegas, NV 89120-4431
Phone (702) 202-2648

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404002315 NV Practitioner - Nurse Practitioner 8628475035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Modern Psychiatry PLLCGroup PAC ID 0840669537, 2 clinicians

Practice addresses (Care Compare)

7477 W Lake Mead Blvd
Suite 260
Las Vegas, NV 89128-1027
Phone (702) 318-7920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Bernstein MD LLC CurrentSince May 1, 2022 Accepting new patients
Modern Psychiatry PLLC Psychiatric/Mental Health CurrentSince Aug 9, 2022 Accepting new patients
Serenity Counseling LLC CurrentSince Dec 23, 2021 Accepting new patients
Vegas Cares, LLC. PastSince Dec 3, 2017 Accepting new patients
Nevada Cares Behavioral Health LLC PastSince Apr 16, 2023 Accepting new patients

Locations

1901 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 486-0000

7477 W Lake Mead Blvd
Ste 260
Las Vegas, NV 89128
Phone (702) 318-7920

6048 S Durango Dr
Ste 115
Las Vegas, NV 89113
Phone (702) 815-1554

6675 S Tenaya Way
Ste 200
Las Vegas, NV 89113
Phone (702) 426-9494

Organizations & group practices 5

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": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1407441405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 TIMBER CREST AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891313693",
            "telephone_number": "785-408-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-815-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6330 McLeod Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891204431",
            "country_code": "US",
            "telephone_number": "702-202-2648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANJOHI",
        "first_name": "BENSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NV",
            "license": "RN88307",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "839389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.