Active NPI
Kimberly Ann Gonzalez, LMSW
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1700247426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 6506-5
- Practice address
- 5800 W. Charleston Blvd
Las Vegas, NV 89146 - Phone
- (702) 832-7080
- Fax
- (702) 258-7849
- NPI assigned
- Mar 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6506-S | NV | |
| Community/Behavioral Health Agency | 251S00000X | 6506-5 | NV | Primary |
Addresses
Primary practice location
5800 W. Charleston Blvd
Las Vegas, NV 89146
Mailing address
2626 S. Rainbow Blvd.
Las Vegas, NV 89146
Phone (702) 319-1405
Other names 1
- Kimberly Ann Hackstock
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6506-S | NV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaobh Against All Odds Behavioral Health | Community/Behavioral Health | Current | Accepting new patients |
| Revived Minds LLC | Community/Behavioral Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AAOBH Limited liability company
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1275278301
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1033832324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1700247426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 S. RAINBOW BLVD.",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89146",
"telephone_number": "702-319-1405",
"fax_number": "702-469-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 W. CHARLESTON BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89146",
"telephone_number": "702-832-7080",
"fax_number": "702-258-7849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-08",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "6506-S",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": "6506-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "HACKSTOCK",
"middle_name": "ANN",
"credential": "LSW",
"code": "1",
"type": "Former Name"
}
]
}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 Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.