Organization Active NPI

Wholistic Recovery LLC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1669241535
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WHOLISTIC RECOVERY LLC
Practice address
1881 Stevens St
Las Vegas, NV 89115-6312
Phone
(702) 525-7918
NPI assigned
Dec 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Ojoma Okotie BrothersNPI 1346949807
Title
Manager
Phone
(702) 525-7918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1881 Stevens St
Las Vegas, NV 89115-6312

Mailing address

1881 Stevens St
Las Vegas, NV 89115-6312
Phone (702) 525-7918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241203001481 NV Part B Supplier - Clinic/Group Practice 5496280240 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

2580 N Rancho Dr
Ste 105A
Las Vegas, NV 89130
Phone (702) 272-1588

Practitioners & affiliated clinicians

Practitioners 5

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": "1703030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1669241535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 STEVENS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156312",
            "telephone_number": "702-525-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 STEVENS ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891156312",
            "telephone_number": "702-525-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "OKOTIE BROTHERS",
        "authorized_official_first_name": "OJOMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-525-7918"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.