Organization Active NPI

Walkbyfaith LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1487016887
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WALKBYFAITH LLC
Practice address
6655 W Sahara Ave Ste A112
Las Vegas, NV 89146-2805
Phone
(702) 462-1813
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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

Authorized official

Name
Mr. Marlon Leon Blanks, LCSWNPI 1629139696
Title
Clinical Director
Phone
(702) 462-1813

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 Primary

Addresses

Primary practice location

6655 W Sahara Ave Ste A112
Las Vegas, NV 89146-2805

Mailing address

6655 W Sahara Ave Ste A112
Las Vegas, NV 89146-2805
Phone (702) 462-1813

Other identifiers 2

IdentifierTypeStateIssuer
1487016887OtherNVTRICARE WEST
1487016887MedicaidNV

Other names 1

  • Resolutions Behavioral Health Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160525001453 NV Part B Supplier - Clinic/Group Practice 1658660014 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6655 W Sahara Ave
Ste A112
Las Vegas, NV 89146
Phone (702) 462-1813

3651 Lindell Rd
Ste D325
Las Vegas, NV 89103
Phone (281) 222-4523

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": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544486400000",
    "number": "1487016887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE A112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462805",
            "telephone_number": "702-462-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6655 W SAHARA AVE STE A112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462805",
            "telephone_number": "702-462-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKBYFAITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2018-12-11",
        "status": "A",
        "authorized_official_last_name": "BLANKS",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-462-1813",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WEST",
            "identifier": "1487016887",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487016887",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resolutions Behavioral Health Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Resolutions Behavioral Health 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 Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.