Individual provider Active NPI

Yountina Anne Ambis, CADC, LCSW, BCN

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1487960423
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6173 C Issued in NV
Practice address
4560 S Eastern Ave Ste 13
Las Vegas, NV 89119-6182
Phone
(702) 328-1986
NPI assigned
Aug 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 00136-C NV
Clinical Social Worker 1041C0700X 6173 C NV Primary

Addresses

Primary practice location

4560 S Eastern Ave Ste 13
Las Vegas, NV 89119-6182

Mailing address

4560 S. Eastern Ave. Suite 13
Las Vegas, NV 89119
Phone (702) 328-1986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141030001848 NV Practitioner - Clinical Social Worker 1153542451 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Nevada, Las Vegas School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4580 S Eastern Ave
Suite 33
Las Vegas, NV 89119-6100
Phone (702) 241-2472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00136-CNVMDAddiction (Substance Use Disorder) Counselor
6173 CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Silverarc Apn Current Accepting new patients
Counseling Office of Yountina Ambis LLC Clinical CurrentSince Oct 1, 2022 Accepting new patients
Southern Nevada Children First Past Accepting new patients

Locations

4560 S Eastern Ave
Ste 13
Las Vegas, NV 89119
Phone (702) 328-1986

4580 S Eastern Ave
Ste 33
Las Vegas, NV 89119
Phone (702) 518-2911

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1487960423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 S. EASTERN AVE. SUITE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89119",
            "telephone_number": "702-328-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 S EASTERN AVE STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196182",
            "telephone_number": "702-328-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBIS",
        "first_name": "YOUNTINA",
        "middle_name": "ANNE",
        "credential": "CADC, LCSW, BCN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "00136-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6173 C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.