Organization Active NPI

Mental Health Counseling and Wellness Center Inc.

  • Child & Adolescent Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1497276232
Registry record updated Jun 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
Legal business name
MENTAL HEALTH COUNSELING AND WELLNESS CENTER INC.
Practice address
320 E Warm Springs Rd Unit 1
Las Vegas, NV 89119-4243
Phone
(702) 602-5250
Fax
(702) 602-5251
NPI assigned
Jul 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2024

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

Authorized official

Name
Martin Binyange, DNPNPI 1558757021
Title
President
Phone
(702) 602-5250

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
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X Primary

Addresses

Primary practice location

320 E Warm Springs Rd Unit 1
Las Vegas, NV 89119-4243

Mailing address

320 E Warm Springs Rd, Unit 1
Las Vegas, NV 89119-4243
Phone (702) 602-5250

Other identifiers 1

IdentifierTypeStateIssuer
V52423MedicaidNV

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL www.hendersonmentalweelness.com
CONNECT URL www.nvmentalwell.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170918000939 NV Part B Supplier - Clinic/Group Practice 8426322207 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Mental Health Counseling and Wellness Center Inc2 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.

Practitioners & affiliated clinicians

Practitioners 4

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": "1498953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719705600000",
    "number": "1497276232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E WARM SPRINGS RD, UNIT 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194243",
            "telephone_number": "702-602-5250",
            "fax_number": "702-602-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E WARM SPRINGS RD UNIT 1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194243",
            "telephone_number": "702-602-5250",
            "fax_number": "702-602-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH COUNSELING AND WELLNESS CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-02",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "BINYANGE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-602-5250",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "V52423",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.hendersonmentalweelness.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "320 E Warm Springs RD UNIT 1",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891194243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nvmentalwell.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "320 E Warm Springs RD UNIT 1",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891194243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 30, 2024; 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.