NPIMap

Organization Active NPI

Mind Up LLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1679292338
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MIND UP LLC
Practice address
900 E Desert Inn Rd Ste 104-B
Las Vegas, NV 89109-9398
Phone
(702) 809-4555
NPI assigned
Aug 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Rebeca Cohen
Title
Owner
Phone
(702) 809-4555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

900 E Desert Inn Rd Ste 104-B
Las Vegas, NV 89109-9398

Mailing address

7968 Dorinda Ave
Las Vegas, NV 89147-5035

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1679292338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7968 DORINDA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891475035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E DESERT INN RD STE 104-B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891099398",
            "telephone_number": "702-809-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND UP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-809-4555"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Aug 25, 2022; 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.