Organization Active NPI

Courageous Counseling LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1467956888
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20171317947 Issued in NV
Legal business name
COURAGEOUS COUNSELING LLC
Practice address
4160 S Pecos Rd Ste 21
Las Vegas, NV 89121-5025
Phone
(702) 409-4668
NPI assigned
Mar 20, 2018
Last updated
Mar 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Authorized official

Name
Mrs. Angella EarleNPI 1639442064
Title
Owner
Phone
(702) 409-6448

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
Community/Behavioral Health Agency 251S00000X NV20171317947 NV Primary

Addresses

Primary practice location

4160 S Pecos Rd Ste 21
Las Vegas, NV 89121-5025

Mailing address

6679 Conquistador St
Las Vegas, NV 89149-1324
Phone (702) 409-6448

National Provider Directory

National Provider Directory
Tax ID family
Angel Personal Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4160 S Pecos Rd
Ste 21
Las Vegas, NV 89121
Phone (702) 409-4668

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521504000000",
    "number": "1467956888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6679 CONQUISTADOR ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891491324",
            "telephone_number": "702-409-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 S PECOS RD STE 21",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215025",
            "telephone_number": "702-409-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-409-6448",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20171317947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 20, 2018; 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.