Active NPI
Khalileah Daniels
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1417231770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MI0854
- Practice address
- 6171 W Charleston Blvd Ste 170
Las Vegas, NV 89146-1126 - Phone
- (702) 486-4004
- NPI assigned
- Oct 5, 2011
- Last updated
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Mental Health Counselor | 101YM0800X | MI0854 | NV | Primary |
Addresses
Primary practice location
6171 W Charleston Blvd Ste 170
Las Vegas, NV 89146-1126
Mailing address
3900 W Charleston Blvd
Suite 170
Las Vegas, NV 89102-1628
Phone (702) 453-4673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI0854 | NV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Happy Counseling, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1417231770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 W CHARLESTON BLVD",
"address_2": "SUITE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021628",
"telephone_number": "702-453-4673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6171 W CHARLESTON BLVD STE 170",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461126",
"telephone_number": "702-486-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "KHALILEAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "MI0854",
"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 Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.