Individual provider Active NPI

Susana Fentanes

  • Professional Counselor
  • Las Vegas, NV
National Provider Identifier
1649904517
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP6317 Issued in NV
Practice address
3224 Ventana Hills Dr
Las Vegas, NV 89117-0103
Phone
(505) 289-2002
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X CP6317 NV Primary

Addresses

Primary practice location

3224 Ventana Hills Dr
Las Vegas, NV 89117-0103

Mailing address

3224 Ventana Hills Dr
Las Vegas, NV 89117-0103
Phone (562) 781-4813

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
CP6317NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fentanes Mental Health PLLC Professional CurrentSince Jul 17, 2022 Accepting new patients
Firstmed Health and Wellness Center Inc Single Specialty PastSince Feb 1, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEACA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1649904517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 VENTANA HILLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891170103",
            "telephone_number": "562-781-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 VENTANA HILLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891170103",
            "telephone_number": "505-289-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENTANES",
        "first_name": "SUSANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP6317",
            "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 Apr 17, 2026; 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.