Desiree C Cantorna-Ibarra, LCPC, CADC-I

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CP0120 Issued in NV

Practice address

5812 Sutcliffe Cir
Las Vegas, NV 89110-3855

Phone

(702) 769-9211

NPI assigned

Oct 25, 2010

Last updated

Jan 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Desiree C Cantorna Former name

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perceptions Counseling Center of Southern Nevada LLCGroup PAC ID 6103257100, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Perceptions Counseling Center of Southern Nevada LLC

  • Marriage & Family Therapist
  • Las Vegas, NV
  • NPI 1578970539
  Medicare reassignment Care Compare group NPD
• Pacific Behavioral Health Services

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1972873586
  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1679873780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5812 SUTCLIFFE CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103855",
            "telephone_number": "702-769-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5812 SUTCLIFFE CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891103855",
            "telephone_number": "702-769-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTORNA-IBARRA",
        "first_name": "DESIREE",
        "middle_name": "C",
        "credential": "LCPC, CADC-I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01194",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP0120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "CANTORNA",
            "middle_name": "C",
            "credential": "LCPC, CADC-I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Odalys Canto, RN
• Audrey Canton
• Karen Canton
• Jhoan Sebastian Cantor Fuquen
• Yanela Cantor
• Mason Cantorna
• Maimouna Rose Cantrall, LSW
• Corinna Lyn Cantrell
• Davina Cantrell
• Lisa Cantrell

• Professional Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.