Self Sufficiency Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SELF SUFFICIENCY BEHAVIORAL HEALTH LLC

Practice address

3965 E Owens Ave Ste 180
Las Vegas, NV 89110-7034

Phone

(702) 331-5983

Fax

(702) 268-7848

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Claudia Lizbeth Ortiz Cruz, MSWNPI 1255877601

Title

Owner/Qmha

Phone

(702) 704-9465

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 6

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

• Claudia Lizbeth Ortiz Cruz, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1255877601
  NPD Authorized official
• Abril Giron

  • Assistant Behavior Analyst
  • Las Vegas, NV
  • NPI 1356073209
  NPD
• Franklyn Lee Morris Jr., LCSW

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1669825139
  NPD
• Crystal Ponce

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1174968762
  NPD
• Tara Johns

  • Addiction (Substance Use Disorder) Counselor
  • Las Vegas, NV
  • NPI 1437651239
  NPD (past)
• Deanna Marie Weston

  • Social Worker
  • Las Vegas, NV
  • NPI 1356059034
  NPD (past)

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1629556261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 E OWENS AVE STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891107034",
            "telephone_number": "702-331-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 E OWENS AVE STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891107034",
            "telephone_number": "702-331-5983",
            "fax_number": "702-268-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF SUFFICIENCY BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "ORTIZ CRUZ",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "LIZBETH",
        "authorized_official_title_or_position": "OWNER/QMHA",
        "authorized_official_telephone_number": "702-704-9465",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erika Self
• Patricia Self, OT
• Brad Dale Selgestad, M.D.
• Ariel Selguera
• Justina Selim, OTD

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.