Phoenix Aerie
Individual provider Active NPI Counselor · Las Vegas, NV
NPI 1700214467 · NPPES record last updated Aug 21, 2026
Key facts
- NPI
- 1700214467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 9402 W Lake Mead Blvd Ste 102
Las Vegas, NV 89134-8312 - Phone
- (702) 438-7800
- NPI assigned
- Oct 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
9402 W Lake Mead Blvd Ste 102
Las Vegas, NV 89134-8312
Mailing address
9402 W Lake Mead Blvd Ste 102
Las Vegas, NV 89134-8312
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.