NPIMap

Organization Active NPI

Therapeutic Integrated Medical Care Inc

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1689204166
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THERAPEUTIC INTEGRATED MEDICAL CARE INC
Practice address
916 W Owens Ave
Las Vegas, NV 89106-2516
Phone
(702) 617-6313
Fax
(702) 901-7224
NPI assigned
Jan 23, 2020
Organization subpart
Yes
Parent organization
THERAPEUTIC INTEGRATED MEDICAL CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Geneve Rodriguez
Title
Administrator
Phone
(702) 617-6313

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

916 W Owens Ave
Las Vegas, NV 89106-2516

Mailing address

PO Box 71526
Las Vegas, NV 89170-1526
Phone (702) 617-6313

Other names 1

  • TIMCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Therapeutic Integrated Medical Care Inc3 organizations share this tax ID, including this one
Part of
Therapeutic Integrated Medical Care Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1689204166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71526",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891701526",
            "telephone_number": "702-617-6313",
            "fax_number": "702-901-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 W OWENS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062516",
            "telephone_number": "702-617-6313",
            "fax_number": "702-901-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC INTEGRATED MEDICAL CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THERAPEUTIC INTEGRATED MEDICAL CARE, INC",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GENEVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-617-6313"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIMCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 23, 2020; 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.