Active NPI
Therapeutic Wellness Services, Inc
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1639478381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THERAPEUTIC WELLNESS SERVICES, INC
- Practice address
- 4915 Alta Dr
Las Vegas, NV 89107-3921 - Phone
- (702) 273-7343
- Fax
- (702) 553-3459
- NPI assigned
- Mar 21, 2011
- 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
- Mrs. Raelara Tilden, LMFT
- Title
- President & Ceo
- Phone
- (702) 273-7343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4915 Alta Dr
Las Vegas, NV 89107-3921
Mailing address
4915 Alta Dr
Las Vegas, NV 89107-3921
Phone (702) 273-7343
Other practice location 1
5020 Alta Dr Ste B
Las Vegas, NV 89107-3940
Phone (702) 273-7343
National Provider Directory
National Provider DirectoryLocations
4915 Alta Dr
Las Vegas, NV 89107
Phone (702) 273-7343
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1346888583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561939200000",
"number": "1639478381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 ALTA DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891073921",
"telephone_number": "702-273-7343",
"fax_number": "702-553-3459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 ALTA DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891073921",
"telephone_number": "702-273-7343",
"fax_number": "702-553-3459"
}
],
"practiceLocations": [
{
"address_1": "5020 Alta Dr Ste B",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891073940",
"country_code": "US",
"telephone_number": "702-273-7343",
"fax_number": "702-553-3459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THERAPEUTIC WELLNESS SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-21",
"last_updated": "2019-07-01",
"status": "A",
"authorized_official_last_name": "TILDEN",
"authorized_official_first_name": "RAELARA",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "702-273-7343",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"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 Jul 1, 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.