NPIMap

Organization Active NPI

Empowerment Center of Southern Nevada LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1700371002
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20181464682 Issued in NV
Legal business name
EMPOWERMENT CENTER OF SOUTHERN NEVADA LLC
Practice address
1024 W Owens Ave Ste B
Las Vegas, NV 89106-2520
Phone
(702) 636-8729
Fax
(702) 441-1808
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Johna Gauff
Title
Owner
Phone
(702) 721-8508

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X NV20181464682 NV Primary
Adult Day Care Clinic/Center 261QA0600X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Primary Care Clinic/Center 261QP2300X
Clinical Medical Laboratory 291U00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

1024 W Owens Ave Ste B
Las Vegas, NV 89106-2520

Mailing address

1024 W Owens Ave Ste B
Las Vegas, NV 89106-2520
Phone (702) 636-8729

Other practice location 1

1815 E Lake Mead Blvd Ste 207
North Las Vegas, NV 89030-7189
Phone (725) 204-6732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190320000714 NV Part B Supplier - Clinic/Group Practice 6709126295 Receives reassigned benefits from 4 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Empowerment Center of Southern Nevada LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

801 S Rancho Dr
Ste A2
Las Vegas, NV 89106
Phone (702) 483-3630

3110 W Cheyenne Ave
Ste 100
North Las Vegas, NV 89032
Phone (702) 636-8729

Practitioners & affiliated clinicians

Practitioners 12

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": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1700371002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 W OWENS AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062520",
            "telephone_number": "702-636-8729",
            "fax_number": "702-441-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 W OWENS AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891062520",
            "telephone_number": "702-636-8729",
            "fax_number": "702-441-1808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 E Lake Mead Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890307189",
            "country_code": "US",
            "telephone_number": "725-204-6732",
            "fax_number": "702-441-1808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWERMENT CENTER OF SOUTHERN NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "GAUFF",
        "authorized_official_first_name": "JOHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-721-8508"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20181464682",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.