Organization Active NPI

I.C.a.N. Family Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1629347620
Registry record updated Oct 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
I.C.A.N. FAMILY SERVICES LLC
Practice address
2901 N Tenaya Way Ste 100
Las Vegas, NV 89128-1404
Phone
(702) 291-2151
NPI assigned
Dec 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2019

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

Authorized official

Name
Mr. Steven Moller
Title
Owner/Managing Member
Phone
(718) 360-3611

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2901 N Tenaya Way Ste 100
Las Vegas, NV 89128-1404

Mailing address

8022 S Rainbow Blvd Ste 318
Las Vegas, NV 89139-6477
Phone (718) 360-3611

Other practice location 1

4981 Shirley St
Las Vegas, NV 89119-4822
Phone (702) 913-5214

Other practice location 2

801 Veterans Memorial Dr
Las Vegas, NV 89101-1946
Phone (702) 913-5214

Other practice location 3

1 W Owens Ave
North Las Vegas, NV 89030-6865

Other practice location 4

2340 Paseo Del Prado Ste 205
Las Vegas, NV 89102-4341
Phone (702) 431-3626

Other practice location 5

4560 S Eastern Ave Ste 14
Las Vegas, NV 89119-6182
Phone (702) 586-5060

Other practice location 6

2340 Paseo Del Prado Ste D101
Las Vegas, NV 89102-4340
Phone (702) 431-3626

Other practice location 7

1925 N Carson St
Carson City, NV 89701-1218
Phone (702) 913-5214

Other practice location 8

2340 Paseo Del Prado Ste D110
Las Vegas, NV 89102-4340
Phone (702) 431-3626

Other practice location 9

2340 Paseo Del Prado Ste D108
Las Vegas, NV 89102-4340
Phone (702) 431-3626

Other practice location 10

1601 E Basin Ave Ste 103
Pahrump, NV 89060-4613
Phone (702) 913-5214

Other practice location 11

8022 S Rainbow Blvd Ste 318
Las Vegas, NV 89139-6477
Phone (702) 327-1760

Other practice location 12

2340 E Calvada Blvd Ste F
Pahrump, NV 89048-5880
Phone (702) 913-5214

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldalton@icanfamilyservices.com

National Provider Directory

National Provider Directory

Locations

1925 N Carson St
Carson City, NV 89701
Phone (775) 315-9675

2340 Paseo del Prado
Ste D108
Las Vegas, NV 89102
Phone (702) 431-3626

801 Veterans Memorial Dr
Las Vegas, NV 89101

2340 Paseo del Prado
Ste D110
Las Vegas, NV 89102
Phone (702) 431-3626

2340 Paseo del Prado
Ste 205
Las Vegas, NV 89102
Phone (702) 431-3626

2901 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 291-2151

2340 E Calvada Blvd
Ste F
Pahrump, NV 89048
Phone (702) 327-1760

1601 E Basin Ave
Ste 103
Pahrump, NV 89060
Phone (702) 575-8884

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570838400000",
    "number": "1629347620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8022 S RAINBOW BLVD STE 318",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396477",
            "telephone_number": "718-360-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 N TENAYA WAY STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281404",
            "telephone_number": "702-291-2151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4981 Shirley St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891194822",
            "country_code": "US",
            "telephone_number": "702-913-5214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Veterans Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891011946",
            "country_code": "US",
            "telephone_number": "702-913-5214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 W Owens Ave",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890306865",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Paseo Del Prado Ste 205",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891024341",
            "country_code": "US",
            "telephone_number": "702-431-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4560 S Eastern Ave Ste 14",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196182",
            "country_code": "US",
            "telephone_number": "702-586-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Paseo Del Prado Ste D101",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891024340",
            "country_code": "US",
            "telephone_number": "702-431-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1925 N Carson St",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897011218",
            "country_code": "US",
            "telephone_number": "702-913-5214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Paseo Del Prado Ste D110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891024340",
            "country_code": "US",
            "telephone_number": "702-431-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Paseo Del Prado Ste D108",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891024340",
            "country_code": "US",
            "telephone_number": "702-431-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 E Basin Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890604613",
            "country_code": "US",
            "telephone_number": "702-913-5214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8022 S Rainbow Blvd Ste 318",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891396477",
            "country_code": "US",
            "telephone_number": "702-327-1760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 E Calvada Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890485880",
            "country_code": "US",
            "telephone_number": "702-913-5214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "I.C.A.N. FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2019-10-12",
        "status": "A",
        "authorized_official_last_name": "MOLLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "718-360-3611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldalton@icanfamilyservices.com",
            "affiliation": "N",
            "address_1": "8022 S Rainbow Blvd Ste 318",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891396477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 12, 2019; 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.