Individual provider Active NPI

Vicki Fern-Riska, L.C.S.W

  • Mental Health Counselor
  • Henderson, NV
National Provider Identifier
1598887556
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4501-C Issued in NV
Practice address
2310 Black River Falls Dr
Henderson, NV 89044-0100
Phone
(702) 370-8894
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4501-C NV Primary

Addresses

Primary practice location

2310 Black River Falls Dr
Henderson, NV 89044-0100

Mailing address

2310 Black River Falls Dr
Henderson, NV 89044
Phone (702) 370-8894

Other identifiers 1

IdentifierTypeStateIssuer
1598887556MedicaidNV

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

LicenseStateTypeSpecialty
4501-CNVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Neuro & Psychological Specialties Past Accepting new patients

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1598887556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 BLACK RIVER FALLS DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89044",
            "telephone_number": "702-370-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 BLACK RIVER FALLS DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890440100",
            "telephone_number": "702-370-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERN-RISKA",
        "first_name": "VICKI",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "4501-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598887556",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.