Individual provider Active NPI

Cheryl Marie Hajri, CADC-INTERN

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
National Provider Identifier
1538675376
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
33851 Issued in TX
Practice address
4520 S Pecos Rd Ste 3
Las Vegas, NV 89121-5937
Phone
(702) 685-9220
Fax
(702) 685-2661
NPI assigned
Dec 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 33851 TX Primary

Addresses

Primary practice location

4520 S Pecos Rd Ste 3
Las Vegas, NV 89121-5937

Mailing address

10175 Spring Mountain Rd Unit 1035
Las Vegas, NV 89117-8467
Phone (325) 280-6305

Other identifiers 1

IdentifierTypeStateIssuer
33851OtherTXLICENSED CHEMICAL DEPENDENCY COUNSELOR INTERN

Other names 1

  • Cheryl Marie Hajri-Talamo Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33851TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1538675376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 SPRING MOUNTAIN RD UNIT 1035",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178467",
            "telephone_number": "325-280-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 S PECOS RD STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215937",
            "telephone_number": "702-685-9220",
            "fax_number": "702-685-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJRI",
        "first_name": "CHERYL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CADC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "33851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CHEMICAL DEPENDENCY COUNSELOR INTERN",
            "identifier": "33851",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "HAJRI-TALAMO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 15, 2017; 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.