Active NPI
Suzen Stover James, LCSW
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1528182722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7150-C
- Practice address
- 6600 W Charleston Blvd
Las Vegas, NV 89146-9001 - Phone
- (702) 440-8440
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7150-C | NV | Primary |
Addresses
Primary practice location
6600 W Charleston Blvd
Las Vegas, NV 89146-9001
Mailing address
1034 Misty Rose Ave
Henderson, NV 89074-8087
Phone (505) 238-8724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000Z3305 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7150-C | NV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rio Rancho Mid-High | School | Past | Accepting new patients |
| Stark Medicine McKay Khurana Jeider PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Child & Adolescent Psychiatry Physician
- Las Vegas, NV
- NPI 1053880856
-
- School Social Worker
- Rio Rancho, NM
- NPI 1962681056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1528182722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 MISTY ROSE AVE",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890748087",
"telephone_number": "505-238-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891469001",
"telephone_number": "702-440-8440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "SUZEN",
"middle_name": "STOVER",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "7150-C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000Z3305",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}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 Jan 27, 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.