Nlvbh & Primary Care Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NLVBH & PRIMARY CARE CENTER

Practice address

3277 W Craig Rd Ste 100-130
North Las Vegas, NV 89032-0792

Phone

(702) 469-7897

NPI assigned

Aug 16, 2021

Organization subpart

No

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

Authorized official

Name

Kirk Wan

Title

Ceo

Phone

(702) 469-7897

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1558037002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 W CRAIG RD STE 180",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320861",
            "telephone_number": "702-469-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 W CRAIG RD STE 100-130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320792",
            "telephone_number": "702-469-7897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 W Craig Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890320861",
            "country_code": "US",
            "telephone_number": "702-469-7897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NLVBH & PRIMARY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-469-7897"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2475",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://nlvbh.carepaths.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Data",
            "address_1": "3277 W Craig Rd Ste 100-130",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890320792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in North Las Vegas, NV
• Providers in North 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 Aug 16, 2021; 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.