Kristine M Ping, Acsw, LCSW PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KRISTINE M PING, ACSW, LCSW PC

Practice address

865 Renaissance St
Boulder City, NV 89005-1223

Phone

(765) 404-6411

NPI assigned

Jul 29, 2014

Last updated

Mar 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Kristine M. Ping, ACSW, LCSW, PC

Title

Owner

Phone

(765) 404-6411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristine Marie Maier, ACSW, LCSW

  • Clinical Social Worker
  • Boulder City, NV
  • NPI 1497832760
  NPD

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1518375963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 RENAISSANCE ST",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051223",
            "telephone_number": "765-404-6411",
            "fax_number": "765-449-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 RENAISSANCE ST",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890051223",
            "telephone_number": "765-404-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Nevada Way Ste 5",
            "address_purpose": "LOCATION",
            "city": "Boulder City",
            "state": "NV",
            "postal_code": "890052381",
            "country_code": "US",
            "telephone_number": "765-404-6411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KRISTINE M PING, ACSW, LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "PING",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-404-6411",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACSW, LCSW, PC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.