Michaelle Anne McIlvaine, BA, CADCI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

5659 Duncan Dr
Las Vegas, NV 89130-2811

Phone

(702) 385-2020

Fax

(702) 658-0480

NPI assigned

May 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Westcare Nevada Inc

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
  • NPI 1306022025
  NPD (past)
• Westcare Nevada Inc

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1902214752
  NPD (past)

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1427494541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10258 BETHEL MILL ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835203",
            "telephone_number": "702-385-2020",
            "fax_number": "702-658-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302811",
            "telephone_number": "702-385-2020",
            "fax_number": "702-658-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILVAINE",
        "first_name": "MICHAELLE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "BA, CADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genea Lynn McHaney
• Angelique McHenry
• Kisha Nicole McHenry
• Paul Martin McHugh, D.O.
• Trent Kelley McHugh
• Alexis McIntire-Porras
• Mataya McIntosh Bradshaw, RN
• Lynda Rose McIntosh, MS, CCC-SLP
• Rachel McIntosh
• Raymond Nathan McIntosh

• Addiction (Substance Use Disorder) Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Addiction (Substance Use Disorder) Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.