Willpower Mindset LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILLPOWER MINDSET LLC

Practice address

368 Free Fall Ave
North Las Vegas, NV 89084-1430

Phone

(702) 528-6958

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Davis Nieves QuinonesNPI 1730744806

Title

Owner

Phone

(702) 528-6958

Specialties & licenses 1

Addresses

Other names 1

• Willpower Mindset LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Davis M Nieves Quinones

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
  • NPI 1730744806
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1407541162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 FREE FALL AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841430",
            "telephone_number": "702-528-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 FREE FALL AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890841430",
            "telephone_number": "702-528-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLPOWER MINDSET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "NIEVES QUINONES",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-528-6958"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willpower Mindset LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cameca Latoria Willis-Barnes
• Brendan Michael Willis, PH.D.
• Brittany Ariana Willis
• Chanci Nicole Willoughby
• Ebony Nicole Willoughby
• Jessica Annise Wilmore
• Bernadine Wilson
• Brandy Wilson
• Chris Wilson
• Donald Ray Wilson

• Mental Health Counselor in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.