Organization Active NPI

Vermillion Skies Mental Health PLLC

  • Clinical Social Worker
  • Golden Valley, AZ
National Provider Identifier
1467374231
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VERMILLION SKIES MENTAL HEALTH PLLC
Practice address
3980 W Crystal Dr
Golden Valley, AZ 86413-9112
Phone
(702) 518-5714
NPI assigned
Jul 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
Andrew Benjamin Canvasser, LCSWNPI 1578333274
Title
Owner/Director
Phone
(702) 518-5714

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3980 W Crystal Dr
Golden Valley, AZ 86413-9112

Mailing address

3980 W Crystal Dr
Golden Valley, AZ 86413-9112
Phone (702) 518-5714

National Provider Directory

National Provider Directory

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": "1785110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1467374231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 W CRYSTAL DR",
            "city": "GOLDEN VALLEY",
            "state": "AZ",
            "postal_code": "864139112",
            "telephone_number": "702-518-5714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 W CRYSTAL DR",
            "city": "GOLDEN VALLEY",
            "state": "AZ",
            "postal_code": "864139112",
            "telephone_number": "702-518-5714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMILLION SKIES MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "CANVASSER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "702-518-5714",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.