Active NPI
Shantae Daanee Salther
- Rehabilitation Counselor
- Las Vegas, NV
National Provider Identifier
1467094482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Practice address
- 1408 S Jones Blvd
Las Vegas, NV 89146-1231 - Phone
- (702) 420-5416
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1548648439 | NV | |
| Rehabilitation Counselor | 225C00000X | Primary |
Addresses
Primary practice location
1408 S Jones Blvd
Las Vegas, NV 89146-1231
Mailing address
902 Single Tree Dr
Las Vegas, NV 89123-2650
Phone (702) 420-5416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548648439 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | theranest | Health Information Exchange (HIE) |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1548648439 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1467094482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 SINGLE TREE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891232650",
"telephone_number": "702-420-5416",
"fax_number": "702-979-9976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891461231",
"telephone_number": "702-420-5416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALTHER",
"first_name": "SHANTAE",
"middle_name": "DAANEE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-10",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "1548648439",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548648439",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "theranest",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3630 N Rancho Dr Ste 108",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891303111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}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 Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.