NPIMap

Organization Active NPI

Our Little World Treatment Center

  • Mental Health Counselor
  • Henderson, NV
National Provider Identifier
1497189666
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NV20131474316 Issued in NV
Legal business name
OUR LITTLE WORLD TREATMENT CENTER
Practice address
12231 S Eastern Ave Ste 140
3Rd Floor
Henderson, NV 89052-4415
Phone
(702) 742-3093
NPI assigned
Aug 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Salvadora Godorov
Title
Owner/Director
Phone
(702) 742-3093

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X NV20131474316 NV Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

12231 S Eastern Ave Ste 140
3Rd Floor
Henderson, NV 89052-4415

Mailing address

12231 S Eastern Ave Ste 140
Henderson, NV 89052-4415
Phone (702) 742-3093

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1497189666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231 S EASTERN AVE STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524415",
            "telephone_number": "702-742-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12231 S EASTERN AVE STE 140",
            "address_2": "3RD FLOOR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524415",
            "telephone_number": "702-742-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LITTLE WORLD TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "GODOROV",
        "authorized_official_first_name": "SALVADORA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "702-742-3093"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "NV20131474316",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.