Individual provider Active NPI

Deanna Rachelle Kaiser, LADC, NCC, CPC

  • Professional Counselor
  • Henderson, NV
National Provider Identifier
1427315712
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP5274 Issued in NV
Practice address
501 E Lake Mead Pkwy Apt 1722
Henderson, NV 89015-6418
Phone
(732) 887-1920
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 01851-L NV
Professional Counselor 101YP2500X CI1761 NV
Behavior Analyst 103K00000X
Professional Counselor 101YP2500X CP5274 NV Primary

Addresses

Primary practice location

501 E Lake Mead Pkwy Apt 1722
Henderson, NV 89015-6418

Mailing address

501 E Lake Mead Pkwy Apt 1722
Henderson, NV 89015-6418
Phone (732) 887-1920

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

LicenseStateTypeSpecialty
01851-LNVMDAddiction (Substance Use Disorder) Counselor
CI1761NVMDProfessional Counselor
CP5274NVMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1427315712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E LAKE MEAD PKWY APT 1722",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156418",
            "telephone_number": "732-887-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E LAKE MEAD PKWY APT 1722",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156418",
            "telephone_number": "732-887-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "DEANNA",
        "middle_name": "RACHELLE",
        "name_prefix": "Mrs.",
        "credential": "LADC, NCC, CPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01851-L",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CI1761",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP5274",
            "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 Feb 28, 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.