Active NPI
Vegas Treatment Center
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1609630169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- VEGAS TREATMENT CENTER
- Practice address
- 2121 E Flamingo Rd # Sre218
Las Vegas, NV 89119-5122 - Phone
- (702) 463-7719
- NPI assigned
- Feb 6, 2024
- 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
- Mariam Nikogosyan
- Title
- Owner
- Phone
- (818) 441-1049
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Methadone Clinic | 261QM2800X |
Addresses
Primary practice location
2121 E Flamingo Rd # Sre218
Las Vegas, NV 89119-5122
Mailing address
2121 E Flamingo Rd # Sre218
Las Vegas, NV 89119-5122
Phone (702) 463-7719
National Provider Directory
National Provider Directory- Tax ID family
- Vegas Treatment Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Methadone Clinic
- Las Vegas, NV
- NPI 1134794423
-
- Methadone Clinic
- Las Vegas, NV
- NPI 1285498741
Locations
2121 E Flamingo Rd
Ste 218
Las Vegas, NV 89119
Phone (702) 463-7719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1609630169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E FLAMINGO RD # SRE218",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195122",
"telephone_number": "702-463-7719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E FLAMINGO RD # SRE218",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195122",
"telephone_number": "702-463-7719"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VEGAS TREATMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "NIKOGOSYAN",
"authorized_official_first_name": "MARIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-441-1049"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"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 Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.