Individual provider Active NPI

Mary Jane Devaney, LSW, CADCI

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
National Provider Identifier
1609212679
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
5659 Duncan Dr
Las Vegas, NV 89130-2811
Phone
(702) 460-0674
NPI assigned
May 17, 2013
Sex
Female
Sole proprietor
Yes

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.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rethink Therapy, LLC PastSince Aug 1, 2020 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

NPPES NPI Registry

Primary practice location

5659 Duncan Dr
Las Vegas, NV 89130-2811

Mailing address

707 Rocky Trail Rd
Henderson, NV 89014
Phone (702) 460-0674

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2013.

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1609212679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ROCKY TRAIL RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-460-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302811",
            "telephone_number": "702-460-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVANEY",
        "first_name": "MARY JANE",
        "credential": "LSW, CADCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Aug 2, 2013; 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.