Individual provider Active NPI

Shauna Johnson, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1699068486
Registry record updated Mar 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6061-C Issued in NV
Practice address
4455 Allen LN Ste 130
North Las Vegas, NV 89031-2208
Phone
(702) 385-1072
Fax
(702) 385-3053
NPI assigned
May 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6061-C NV Primary

Addresses

Primary practice location

4455 Allen LN Ste 130
North Las Vegas, NV 89031-2208

Mailing address

HC 61 Box 101
Hiko, NV 89017-9630
Phone (702) 556-2251

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160801000644 NV Practitioner - Clinical Social Worker 9931492741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Solutions LLCGroup PAC ID 4385998954, 60 clinicians

Practice addresses (Care Compare)

2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2703
Phone (702) 589-4871

Merit-based Incentive Payment System (MIPS)

Final score
91.16 of 100Reported as group
Quality
80.29
Promoting interoperability
95
Improvement activities
40
Cost
61.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6061-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Solutions LLC Clinical CurrentSince Jun 1, 2021 Accepting new patients
Next Level Psychiatry Arizona PLLC CurrentSince Jun 1, 2021 Accepting new patients
LDS Family Services Past Accepting new patients
I.C.a.N. Family Services LLC PastSince Aug 18, 2019 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

Interoperability endpoints

  • Direct secure messaging: shauna.johnson.1@24259.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362441600000",
    "number": "1699068486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 61 BOX 101",
            "city": "HIKO",
            "state": "NV",
            "postal_code": "890179630",
            "telephone_number": "702-556-2251",
            "fax_number": "775-726-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 ALLEN LN STE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312208",
            "telephone_number": "702-385-1072",
            "fax_number": "702-385-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAUNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-26",
        "last_updated": "2013-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6061-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.