Active NPI
Symphony Mind LLC
- Clinic/Center
- Las Vegas, NV
National Provider Identifier
1669184412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- SYMPHONY MIND LLC
- Practice address
- 2621 W Charleston Blvd
Las Vegas, NV 89102-2121 - Phone
- (702) 559-7801
- NPI assigned
- Dec 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joel Albert
- Title
- Manager
- Phone
- (725) 301-1182
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
2621 W Charleston Blvd
Las Vegas, NV 89102-2121
Mailing address
2619 W Charleston Blvd Ste D
Las Vegas, NV 89102-2121
Phone (725) 301-1182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2916 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2326303 | Symphony Mind LLC | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
2621 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 431-2232
2621 W Charleston Blvd
Ste D
Las Vegas, NV 89102
Phone (615) 578-4065
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Las Vegas, NV
- NPI 1184615098
-
- Psychiatric/Mental Health Nurse Practitioner
- Las Vegas, NV
- NPI 1356052765
-
- Geriatric Psychiatry Physician
- Las Vegas, NV
- NPI 1831296904
-
- Professional Counselor
- Las Vegas, NV
- NPI 1184865289
-
- Mental Health Counselor
- Las Vegas, NV
- NPI 1114358868
-
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1467660621
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1265862130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739664000000",
"number": "1669184412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 W CHARLESTON BLVD STE D",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022121",
"telephone_number": "725-301-1182",
"fax_number": "702-441-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 W CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891022121",
"telephone_number": "702-559-7801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYMPHONY MIND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-22",
"last_updated": "2025-02-16",
"certification_date": "2025-02-16",
"status": "A",
"authorized_official_last_name": "ALBERT",
"authorized_official_first_name": "JOEL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "725-301-1182"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2916",
"state": "NV"
}
],
"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 Feb 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.