Active NPI
M.C.a Enterprises Professional LLC
Doing business as Self Care Health Services LLC
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1417752635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- M.C.A ENTERPRISES PROFESSIONAL LLC
- Doing business as
- Self Care Health Services LLC
- Practice address
- 7495 W Azure Dr Ste 256
Las Vegas, NV 89130-4417 - Phone
- (702) 403-7997
- NPI assigned
- Feb 13, 2025
- Organization subpart
- Yes
- Parent organization
- M.C.A ENTERPRISES PROFESSIONAL LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Audreena Harris
- Title
- Director
- Phone
- (702) 403-7997
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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Behavior Analyst | 103K00000X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Health Service Psychologist | 103TH0100X | |||
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | |||
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Community Health Worker | 172V00000X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
7495 W Azure Dr Ste 256
Las Vegas, NV 89130-4417
Mailing address
7495 W Azure Dr Ste 256
Las Vegas, NV 89130-4417
Phone (702) 403-7997
Other names 1
- Self Care Health Services LLC
National Provider Directory
National Provider Directory- Part of
- Mca Enterprises Professional LLC
Practitioners & affiliated clinicians
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.
-
- Cognitive & Behavioral Psychologist
- North Las Vegas, NV
- NPI 1942505946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1417752635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7495 W AZURE DR STE 256",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891304417",
"telephone_number": "702-403-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7495 W AZURE DR STE 256",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891304417",
"telephone_number": "702-403-7997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M.C.A ENTERPRISES PROFESSIONAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "M.C.A ENTERPRISES PROFESSIONAL LLC",
"enumeration_date": "2025-02-13",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "AUDREENA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-403-7997"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Self Care Health Services LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.