Organization Active NPI

Mental Edge Therapy Professional LLC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1447850144
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENTAL EDGE THERAPY PROFESSIONAL LLC
Doing business as
Mental Edge Therapy
Practice address
6362 McLeod Dr Ste 6
Las Vegas, NV 89120-4433
Phone
(702) 483-1990
Fax
(702) 831-8812
NPI assigned
Oct 30, 2020
Organization subpart
Yes
Parent organization
MENTAL EDGE THERAPY PROFESSIONAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Mrs. Nicole L McDonagh, CP, LCADC, LCADC-SNPI 1811538317
Title
Owner
Phone
(702) 483-1990

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6362 McLeod Dr Ste 6
Las Vegas, NV 89120-4433

Mailing address

6362 McLeod Dr Ste 6
Las Vegas, NV 89120-4433
Phone (702) 483-1990

Other names 1

  • Mental Edge Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Mental Edge Therapy Professional LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1447850144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6362 MCLEOD DR STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204433",
            "telephone_number": "702-483-1990",
            "fax_number": "702-831-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6362 MCLEOD DR STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204433",
            "telephone_number": "702-483-1990",
            "fax_number": "702-831-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL EDGE THERAPY PROFESSIONAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL EDGE THERAPY PROFESSIONAL LLC",
        "enumeration_date": "2020-10-30",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "MCDONAGH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-483-1990",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CP, LCADC, LCADC-S"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mental Edge Therapy",
            "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 Jan 6, 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.

Verify at the official NPI Registry.