NPIMap

Individual provider Active NPI

Mignon Hoover

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1609155902
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9548-C Issued in NV
Practice address
2520 Saint Rose Pkwy Ste 306
Henderson, NV 89074-7790
Phone
(702) 808-8141
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IC-1445 NV
Behavior Analyst 103K00000X
Clinical Social Worker 1041C0700X 9548-C NV Primary

Addresses

Primary practice location

2520 Saint Rose Pkwy Ste 306
Henderson, NV 89074-7790

Mailing address

5634 Heartland Way
North Las Vegas, NV 89031-5029
Phone (734) 276-7804

Other practice location 1

100 Saint Judes St
Boulder City, NV 89005-1614
Phone (702) 274-7100

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

State licenses

LicenseStateTypeSpecialty
IC-1445NVMDMental Health Counselor
9548-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Jude's Ranch for Children Past Accepting new patients
St. Jude's Ranch for Children Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1609155902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5634 HEARTLAND WAY",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890315029",
            "telephone_number": "734-276-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAINT ROSE PKWY STE 306",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747790",
            "telephone_number": "702-808-8141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Saint Judes St",
            "address_purpose": "LOCATION",
            "city": "Boulder City",
            "state": "NV",
            "postal_code": "890051614",
            "country_code": "US",
            "telephone_number": "702-274-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "MIGNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "IC-1445",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9548-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 27, 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.

Verify at the official NPI Registry.