Individual provider Active NPI

Carlye Rowe

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1639706856
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1779 Issued in NV
Practice address
6879 W Charleston Blvd Ste a
Las Vegas, NV 89117-1672
Phone
(702) 608-4220
NPI assigned
Mar 26, 2020
Last updated
Mar 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1779 NV Primary

Addresses

Primary practice location

6879 W Charleston Blvd Ste a
Las Vegas, NV 89117-1672

Mailing address

2536 Silver Beach Dr
Henderson, NV 89052-2664
Phone (702) 335-0758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430004491 NV Practitioner - Mental Health Counselor 3779923222 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C1779NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bergdale & Hall, LLC CurrentSince Apr 10, 2024 Accepting new patients
Bergdale & Hall, LLC CurrentSince Apr 10, 2024 Accepting new patients

Locations

6879 W Charleston Blvd
Ste A
Las Vegas, NV 89117
Phone (702) 308-4807

6885 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 483-7367

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1639706856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 SILVER BEACH DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522664",
            "telephone_number": "702-335-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6879 W CHARLESTON BLVD STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171672",
            "telephone_number": "702-608-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "CARLYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "C1779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.