Casey Rene Casillas-Nichols, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CI0215 Issued in NV

Practice address

2500 W Washington Ave Ste B
Las Vegas, NV 89106-3731

Phone

(027) 605-5858

NPI assigned

May 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Fundamental Behavioral Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1699158600
  Medicare reassignment NPD
• Behavioral Health Specialists of Utah, LLC

  • Community/Behavioral Health Agency
  • Murray, UT
  • NPI 1558193342
  NPD

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1710323720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W WASHINGTON AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063731",
            "telephone_number": "702-605-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W WASHINGTON AVE STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063731",
            "telephone_number": "027-605-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS-NICHOLS",
        "first_name": "CASEY",
        "middle_name": "RENE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI0215",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "01786-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Cashman
• Alissandre Casiano, MS, BCBA, LBA
• Basilia Magdalena Casibang, PT
• Miguelito Castillo Casibang, PT
• Lizeth Casillas-Garcia, LMSW/CSW-I
• Benjamin Casillas, MD
• Bridget Joy Casillas
• Miguel Casillas
• Rachel Haymaran Casillas
• Samantha Casillas

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.