Active NPI
Cherelle Porche
- Counselor
- Las Vegas, NV
National Provider Identifier
1558824250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 12020 Southern Highlands Pkwy Apt 1136
Las Vegas, NV 89141-3006 - Phone
- (702) 824-6895
- NPI assigned
- Apr 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NV | Primary |
Addresses
Primary practice location
12020 Southern Highlands Pkwy Apt 1136
Las Vegas, NV 89141-3006
Mailing address
12020 Southern Highlands Pkwy Apt 1136
Las Vegas, NV 89141-3006
Phone (702) 824-6895
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-4982189 | Other | NV | MEDICARE |
| 82-4982189 | Medicaid | NV |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1558824250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12020 SOUTHERN HIGHLANDS PKWY APT 1136",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891413006",
"telephone_number": "702-824-6895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12020 SOUTHERN HIGHLANDS PKWY APT 1136",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891413006",
"telephone_number": "702-824-6895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORCHE",
"first_name": "CHERELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-09",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "82-4982189",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "82-4982189",
"state": "NV"
}
],
"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 Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.