Organization Active NPI

Positive Minds Behavioral Health LLC

  • Mental Health Counselor
  • Henderson, NV
National Provider Identifier
1417582453
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
POSITIVE MINDS BEHAVIORAL HEALTH LLC
Practice address
2016 W Sunset Rd Ste 120
Henderson, NV 89014-2078
Phone
(725) 204-5080
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Authorized official

Name
Sergio Rodriguez
Title
Ceo
Phone
(725) 204-5080

Specialties & licenses 1

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

Addresses

Primary practice location

2016 W Sunset Rd Ste 120
Henderson, NV 89014-2078

Mailing address

2016 W Sunset Rd Ste 120
Henderson, NV 89014-2078

National Provider Directory

National Provider Directory

Locations

2016 W Sunset Rd
Ste 120
Henderson, NV 89014
Phone (702) 893-3011

Practitioners & affiliated clinicians

Practitioners 1

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": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1417582453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 W SUNSET RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 W SUNSET RD STE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142078",
            "telephone_number": "725-204-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE MINDS BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "725-204-5080"
    },
    "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 Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.