NPIMap

Organization Active NPI

Provider Profiles, Inc.

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1518017342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0555 Issued in NV
Legal business name
PROVIDER PROFILES, INC.
Practice address
8350 W Sahara Ave
Suite 130
Las Vegas, NV 89117-8939
Phone
(702) 258-5711
Fax
(702) 258-1304
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Omega Jodean Galliano, MFTNPI 1780665687
Title
Vice President
Phone
(702) 258-5711

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 0555 NV Primary

Addresses

Primary practice location

8350 W Sahara Ave
Suite 130
Las Vegas, NV 89117-8939

Mailing address

8350 W Sahara Ave
Suite 130
Las Vegas, NV 89117-8939
Phone (702) 258-5711

Other names 1

  • Counseling Connections Doing business as

National Provider Directory

National Provider Directory

Locations

8350 W Sahara Ave
Ste 130
Las Vegas, NV 89117
Phone (702) 258-5711

Practitioners & affiliated clinicians

Practitioners 2

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518017342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 W SAHARA AVE",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178939",
            "telephone_number": "702-258-5711",
            "fax_number": "702-258-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 W SAHARA AVE",
            "address_2": "SUITE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178939",
            "telephone_number": "702-258-5711",
            "fax_number": "702-258-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER PROFILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALLIANO",
        "authorized_official_first_name": "OMEGA",
        "authorized_official_middle_name": "JODEAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "702-258-5711",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Connections",
            "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 Aug 22, 2020; 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.