Active NPI
Roosevelt Cohens, LPC
- Clinical Social Worker
- North Las Vegas, NV
National Provider Identifier
1568801587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC50080419
- Practice address
- 3909 Snow Fawn Ave
North Las Vegas, NV 89084-4960 - Phone
- (202) 373-2853
- Fax
- (202) 506-3711
- NPI assigned
- Jun 24, 2013
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PRC985 | DC | |
| Clinical Social Worker | 1041C0700X | LC50080419 | DC | Primary |
Addresses
Primary practice location
3909 Snow Fawn Ave
North Las Vegas, NV 89084-4960
Mailing address
3909 Snow Fawn Ave
North Las Vegas, NV 89084-4960
Phone (202) 373-2853
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRC985 | DC | MD | Mental Health Counselor |
| LC50080419 | DC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1568801587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 SNOW FAWN AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890844960",
"telephone_number": "202-373-2853",
"fax_number": "202-506-3712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 SNOW FAWN AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890844960",
"telephone_number": "202-373-2853",
"fax_number": "202-506-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHENS",
"first_name": "ROOSEVELT",
"name_prefix": "Dr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-24",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "PRC985",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC50080419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.