Active NPI
Clear Choice Therapeutic Center, LLC
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1568929198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CLEAR CHOICE THERAPEUTIC CENTER, LLC
- Practice address
- 4079 North Rancho Drive, Suite 160
Las Vegas, NV 89130 - Phone
- (702) 591-3055
- NPI assigned
- Mar 1, 2019
- Last updated
- Mar 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tami Vernette Bass
- Title
- Director
- Phone
- (702) 591-3055
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4079 North Rancho Drive, Suite 160
Las Vegas, NV 89130
Mailing address
3670 N Rancho Dr Ste 105
Las Vegas, NV 89130-3192
Phone (702) 591-3055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NV20191164353 | Other | NV | NV SECRETARY OF STATE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rehabilitation Practitioner
- Las Vegas, NV
- NPI 1952682874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551398400000",
"number": "1568929198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3670 N RANCHO DR STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891303192",
"telephone_number": "702-591-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4079 NORTH RANCHO DRIVE, SUITE 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89130",
"telephone_number": "702-591-3055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEAR CHOICE THERAPEUTIC CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-01",
"last_updated": "2019-03-01",
"status": "A",
"authorized_official_last_name": "BASS",
"authorized_official_first_name": "TAMI",
"authorized_official_middle_name": "VERNETTE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-591-3055"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NV SECRETARY OF STATE",
"identifier": "NV20191164353",
"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 Mar 1, 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.