Kathy Ann Cleveland, BST WORKER

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2480 N Decatur Blvd Ste 125
Las Vegas, NV 89108-2985

Phone

(702) 445-6350

Fax

(702) 445-6354

NPI assigned

Jul 17, 2014

Last updated

Jul 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathy Ann Cleveland Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Steppin Out Family Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1538569264
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1528475910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 HARMONY POINT DR",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890326106",
            "telephone_number": "702-600-9905",
            "fax_number": "702-445-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 N DECATUR BLVD STE 125",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082985",
            "telephone_number": "702-445-6350",
            "fax_number": "702-445-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "credential": "BST WORKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "CLEVELAND",
            "middle_name": "ANN",
            "credential": "BST WORKER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brandon Cleveland, QMHA
• Destinie Cleveland, MS, LMHC, CPC, LCADC
• Diane May Cleveland
• Dymonde Cleveland, CHW1-5647
• James Cleveland III
• Latrice Cleveland
• Lynnea Cleveland
• Nathan J Cleveland, MD
• Nicole Denise Cleveland
• Shaelagh Cleveland

• 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 Jul 17, 2014; 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.