Jefferson Family Corporation Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JEFFERSON FAMILY CORPORATION INC

Practice address

1229 W Adams Ave
Las Vegas, NV 89106-2839

Phone

(702) 684-3573

NPI assigned

Nov 4, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Annie Mae SpencerNPI 1538426341

Title

Owner

Phone

(702) 684-3573

Specialties & licenses 1

Addresses

Other names 1

• COGNISIVE CLINC: THE CENTER FOR BRAIN HEALTH Former legal business name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Jefferson Family Corporation, Inc

  dba Cognisive Clinic: The Center for Brain Health

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1295397297
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annie Mae Spencer

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1538426341
  NPD (past) Authorized official

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1548738990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 W ADAMS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062839",
            "telephone_number": "702-684-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 W ADAMS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062839",
            "telephone_number": "702-684-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON FAMILY CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-04",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-684-3573",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COGNISIVE CLINC: THE CENTER FOR BRAIN HEALTH",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachel Jefferies
• Cherish Marie Jeffers
• Eva Jeffers
• Jefferson C Yu MD
• Carolyn Laurice Jefferson Cornelius, MD
• Jefferson Family Corporation, Inc (Cognisive Clinic: The Center for Brain Health)
• Jefferson Holdings (Evolve)
• Angelina Regina Jefferson-Das
• Adrienne Jefferson
• Alaya Jefferson

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.