NPIMap

Organization Active NPI

Ignite Teen Treatment, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1629609441
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
IGNITE TEEN TREATMENT, LLC
Practice address
2330 Paseo del Prado Ste C101
Las Vegas, NV 89102-4336
Phone
(725) 272-0330
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Alan Bond
Title
Cfo
Phone
(310) 774-1303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

2330 Paseo del Prado Ste C101
Las Vegas, NV 89102-4336

Mailing address

8635 W Sahara Ave # 10
Las Vegas, NV 89117-5858
Phone (725) 272-0330

National Provider Directory

National Provider Directory
Tax ID family
Ignite Teen Treatment LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4465 S Buffalo Dr
Ste D
Las Vegas, NV 89147
Phone (702) 821-1120

2330 Paseo del Prado
Ste C103
Las Vegas, NV 89102
Phone (725) 272-0330

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1629609441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W SAHARA AVE # 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175858",
            "telephone_number": "725-272-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 PASEO DEL PRADO STE C101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024336",
            "telephone_number": "725-272-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE TEEN TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "310-774-1303"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 May 9, 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.