Individual provider Active NPI

Rhonda Jordan, LCSW

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1528137106
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
01789-C Issued in NV
Practice address
3530 E Flamingo Rd
#230
Las Vegas, NV 89121-5069
Phone
(702) 733-7200
Fax
(702) 733-6716
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 01789-C NV Primary

Addresses

Primary practice location

3530 E Flamingo Rd
#230
Las Vegas, NV 89121-5069

Mailing address

3530 E Flamingo Rd
#230
Las Vegas, NV 89121-5069
Phone (702) 733-7200

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151116001617 NV Practitioner - Clinical Social Worker 5698912244 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6550 S Pecos Rd
Suite 126
Las Vegas, NV 89120-2830
Phone (702) 733-9806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01789-CNVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Medical Group (Coats) LTD. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528137106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 E FLAMINGO RD",
            "address_2": "#230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215069",
            "telephone_number": "702-733-7200",
            "fax_number": "702-733-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 E FLAMINGO RD",
            "address_2": "#230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215069",
            "telephone_number": "702-733-7200",
            "fax_number": "702-733-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "RHONDA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "01789-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.