Organization Active NPI

Therapeutic Wellness Services, Inc

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1639478381
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jul 1, 2019

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.