Individual provider Active NPI

Demi Allison Warrick

  • Addiction (Substance Use Disorder) Counselor
  • Pahrump, NV
National Provider Identifier
1447893177
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
01501-L Issued in NV
Practice address
2050 N. Hwy 160
Suites 600 - 700
Pahrump, NV 89060-1619
Phone
(775) 505-1625
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 01501-L NV Primary

Addresses

Primary practice location

2050 N. Hwy 160
Suites 600 - 700
Pahrump, NV 89060-1619

Mailing address

2050 N. Hwy 160
Suites 600 - 700
Pahrump, NV 89060-1619
Phone (775) 505-1625

Other identifiers 1

IdentifierTypeStateIssuer
2004817247MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address demi@livingfreehealth.org Direct

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
01501-LNVMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1447893177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 N. HWY 160",
            "address_2": "SUITES 600 - 700",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890601619",
            "telephone_number": "775-505-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N. HWY 160",
            "address_2": "SUITES 600 - 700",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890601619",
            "telephone_number": "775-505-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARRICK",
        "first_name": "DEMI",
        "middle_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01501-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2004817247",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "demi@livingfreehealth.org",
            "affiliation": "N",
            "endpointDescription": "demi@livingfreehealth.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2050 N. Hwy 160",
            "address_2": "Suites 600 - 700",
            "city": "Pahrump",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890601619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.