NPIMap

Organization Active NPI

Children and Adolescents Mentoring Services,LLC

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
National Provider Identifier
1649518853
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILDREN AND ADOLESCENTS MENTORING SERVICES,LLC
Practice address
2205 Spanish Town Ave
North Las Vegas, NV 89031-0903
Phone
(702) 658-9563
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Mr. Chester Franklin Gaines
Title
Qualified Mental Health Associate
Phone
(702) 658-9563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2205 Spanish Town Ave
North Las Vegas, NV 89031-0903

Mailing address

2205 Spanish Town Ave
North Las Vegas, NV 89031-0903
Phone (702) 658-9563

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1649518853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 SPANISH TOWN AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310903",
            "telephone_number": "702-658-9563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 SPANISH TOWN AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890310903",
            "telephone_number": "702-658-9563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN AND ADOLESCENTS MENTORING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "QUALIFIED MENTAL HEALTH ASSOCIATE",
        "authorized_official_telephone_number": "702-658-9563",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.