Ayele E Amavigan, ED.D, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9936-C Issued in NV

Practice address

2585 S Jones Blvd Ste 2F
Las Vegas, NV 89146-5604

Phone

(702) 806-9143

NPI assigned

May 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Labante Counseling & Education Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1780192278
  Medicare reassignment NPD Authorized official
• Delali Management Services

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1023449089
  Medicare reassignment Authorized official
• Citi Med

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1417646860
  Medicare reassignment NPD
• H.O.P.E. Counseling Services LLC

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1518133529
  Medicare reassignment NPD
• Pacifica Healthcare Providers LLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1528628633
  Medicare reassignment NPD

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1497921605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 MEADOW VIEW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031121",
            "telephone_number": "702-806-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 S JONES BLVD STE 2F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465604",
            "telephone_number": "702-806-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAVIGAN",
        "first_name": "AYELE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "ED.D, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9936-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zubin Amarsi, MD
• Alyssa Marie Amata
• Amatista
• Gabrielle Amato, RBT
• Rosa Amatong
• Nheri Balentina Amaya Moya
• Victor Amaya Salinas
• Becksy Tatiana Amaya
• Blanca Amaya
• Destinee Dominique Amaya

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.