Active NPI
Wanda Sue Johnson
- Professional Counselor
- Las Vegas, NV
National Provider Identifier
1689086555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 911 N Buffalo Dr
Suite 213
Las Vegas, NV 89128-0379 - Phone
- (702) 942-1774
- Fax
- (702) 942-1773
- NPI assigned
- May 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
911 N Buffalo Dr
Suite 213
Las Vegas, NV 89128-0379
Mailing address
911 N Buffalo Dr
Suite 213
Las Vegas, NV 89128-0379
Phone (702) 942-1774
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1689086555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 N BUFFALO DR",
"address_2": "SUITE 213",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280379",
"telephone_number": "702-942-1774",
"fax_number": "702-942-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 N BUFFALO DR",
"address_2": "SUITE 213",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280379",
"telephone_number": "702-942-1774",
"fax_number": "702-942-1773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "WANDA",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"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 May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.