Individual provider Active NPI

Alexis Millius-Pretak

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1639896186
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12124-C Issued in NV
Practice address
1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Phone
(702) 582-6063
Fax
(009) 370-2825
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 12124-C NV Primary

Addresses

Primary practice location

1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367

Mailing address

1489 W Warm Springs Rd Ste 110
Henderson, NV 89014-7367
Phone (702) 582-6063

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hello@clearmindcounselingnv.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12124-CNVMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1639896186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 W WARM SPRINGS RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147367",
            "telephone_number": "702-582-6063",
            "fax_number": "009-370-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 W WARM SPRINGS RD STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890147367",
            "telephone_number": "702-582-6063",
            "fax_number": "009-370-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIUS-PRETAK",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "12124-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hello@clearmindcounselingnv.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1489 W Warm Springs Rd Ste 110",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890147367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.