Organization Active NPI

Mind Relief LLC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1417478587
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIND RELIEF LLC
Practice address
3530 E Flamingo Rd Ste 140
Las Vegas, NV 89121-5008
Phone
(702) 202-4240
Fax
(702) 680-1536
NPI assigned
Jun 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Deborah Bernal-PerezNPI 1174917058
Title
Mmber
Phone
(702) 272-8619

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3530 E Flamingo Rd Ste 140
Las Vegas, NV 89121-5008

Mailing address

5509 Damico Dr
Las Vegas, NV 89120-2254
Phone (702) 272-8619

National Provider Directory

National Provider Directory

Locations

3530 E Flamingo Rd
Ste 140
Las Vegas, NV 89121
Phone (702) 202-4240

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1417478587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 DAMICO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202254",
            "telephone_number": "702-272-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 E FLAMINGO RD STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215008",
            "telephone_number": "702-202-4240",
            "fax_number": "702-680-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND RELIEF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "BERNAL-PEREZ",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "MMBER",
        "authorized_official_telephone_number": "702-272-8619"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 5, 2017; 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.