Individual provider Active NPI

Ellen Tinney

  • Counselor
  • North Las Vegas, NV
National Provider Identifier
1598062325
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
6640 Abruzzi Dr
Unit 204
North Las Vegas, NV 89084-5438
Phone
(702) 994-1940
NPI assigned
Feb 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

6640 Abruzzi Dr
Unit 204
North Las Vegas, NV 89084-5438

Mailing address

6640 Abruzzi Dr
Unit 204
North Las Vegas, NV 89084-5438
Phone (702) 994-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404002275 NV Practitioner - Mental Health Counselor 1153769500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3650 N Rancho Dr
Suite 104
Las Vegas, NV 89130-3151
Phone (702) 595-1863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Uplifting Lives CurrentSince Jan 17, 2024 Accepting new patients

Locations

3650 N Rancho Dr
Ste 104
Las Vegas, NV 89130
Phone (702) 595-1863

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1598062325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 ABRUZZI DR",
            "address_2": "UNIT 204",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845438",
            "telephone_number": "702-994-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 ABRUZZI DR",
            "address_2": "UNIT 204",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845438",
            "telephone_number": "702-994-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNEY",
        "first_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.