The Healing Center LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

THE HEALING CENTER LLC

Practice address

4455 S Pecos Rd Ste C
Las Vegas, NV 89121-5029

Phone

(702) 350-1430

NPI assigned

May 28, 2019

Organization subpart

No

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

Authorized official

Name

Kelley Johnson, LCSWNPI 1336320555

Title

Co-Owner

Phone

(702) 810-8268

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Kelley Nicole Johnson

  • Clinical Social Worker
  • Las Vegas, NV
  • NPI 1336320555
  NPD Authorized official

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1639736416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 S PECOS RD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 S PECOS RD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215029",
            "telephone_number": "702-350-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "702-810-8268",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "NV20191129258",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.barracuda.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email Software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4455 S Pecos Rd Ste C",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891215029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• The Foundation for the S.T.a.R.S.
• The Foundation for the Stars
• The Functional SLP PLLC
• The Garden Foundation Inc (The Garden Foundation)
• The Graduate House
• The Health and Wellness Consortium Inc.
• The Heights of Summerlin, LLC (The Heights of Summerlin)
• The Help Organization Club
• The Hummingbird Health PLLC
• The Institute of Autism and Neurodevelopment

• Adult Mental Health Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Mental Health Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.