Organization Active NPI

Shades of Healing Therapy PLLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1699440859
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHADES OF HEALING THERAPY PLLC
Doing business as
Season for Healing Therapy
Practice address
1919 S Jones Blvd Ste D
Las Vegas, NV 89146-1299
Phone
(702) 900-8663
NPI assigned
Aug 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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

Authorized official

Name
Diamond Rodgers, MS, LMFTNPI 1639620412
Title
Owner
Phone
(702) 236-4209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1919 S Jones Blvd Ste D
Las Vegas, NV 89146-1299

Mailing address

1919 S Jones Blvd Ste D
Las Vegas, NV 89146-1299
Phone (702) 236-4209

Other names 1

  • Season for Healing Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1699440859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S JONES BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461299",
            "telephone_number": "702-236-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S JONES BLVD STE D",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461299",
            "telephone_number": "702-900-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADES OF HEALING THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "DIAMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-236-4209",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Season for Healing Therapy",
            "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 Nov 5, 2021; 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.