Mastermind Community Resolutions

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MASTERMIND COMMUNITY RESOLUTIONS

Practice address

7152 Polita CT
Las Vegas, NV 89156-7153

Phone

(702) 439-7519

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By 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

Shana D Williams

Title

Partner

Phone

(702) 439-7519

Specialties & licenses 1

Addresses

Other names 1

• MASTERMIND COMMUNITY RESOLUTIONS Former legal business name

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1518694629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7152 POLITA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891567153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7152 POLITA CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891567153",
            "telephone_number": "702-439-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERMIND COMMUNITY RESOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "702-439-7519"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MASTERMIND COMMUNITY RESOLUTIONS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nancy Massia
• Dominic Michael Massimo III
• Faris Massis, RPH
• Jennifer Renee Masslon, FNP-C
• Adam Lee Mast, PT, MPT, OCS
• Brenda Marie Masterson-Brodie, LCSW
• Megan Elizabeth Masterson, AUD, CCC-A, F-AAA
• Chris Mastny
• Marsha Mastny
• Lauren Maston

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.