Active NPI
Giovanni Scott
- Behavior Technician
- Las Vegas, NV
National Provider Identifier
1558019018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1240 W Owens Ave Ste 4
Las Vegas, NV 89106-2452 - Phone
- (702) 689-8658
- NPI assigned
- Mar 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | TX | ||
| Behavior Technician | 106S00000X | NV | Primary |
Addresses
Primary practice location
1240 W Owens Ave Ste 4
Las Vegas, NV 89106-2452
Mailing address
2780 S Jones Blvd Ste 221
Las Vegas, NV 89146-5628
Phone (832) 713-6453
Other practice location 1
2626 S Loop W Ste 605-Z
Houston, TX 77054-2654
Phone (602) 946-4120
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dreams 2 Reality | Current | Accepting new patients | |
| Beyond Blue Health Services LLC | Current | Accepting new patients | |
| Peaceful Pathways Community Services LLC | Past | Accepting new patients |
Locations
7550 N 19th Ave
Ste 104
Phoenix, AZ 85021
Phone (602) 946-4120
Organizations & group practices 3
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.
-
- Substance Abuse Rehabilitation Facility
- Phoenix, AZ
- NPI 1164170635
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1366362154
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Phoenix, AZ
- NPI 1205415957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1558019018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 S JONES BLVD STE 221",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465628",
"telephone_number": "832-713-6453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 W OWENS AVE STE 4",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891062452",
"telephone_number": "702-689-8658"
}
],
"practiceLocations": [
{
"address_1": "2626 S Loop W Ste 605-Z",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770542654",
"country_code": "US",
"telephone_number": "602-946-4120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCOTT",
"first_name": "GIOVANNI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-14",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.