Active NPI
Celestine McKinney
- Counselor
- Las Vegas, NV
National Provider Identifier
1710357611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1405116593
- Practice address
- 3960 E. Patrick Lane
Suite 101
Las Vegas, NV 89120-4902 - Phone
- (702) 998-6264
- NPI assigned
- Oct 5, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1405116593 | NV | Primary |
Addresses
Primary practice location
3960 E. Patrick Lane
Suite 101
Las Vegas, NV 89120-4902
Mailing address
4378 Woodwell St.
Unit D.
Las Vegas, CA 89147-7145
Phone (702) 337-1299
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 |
|---|---|---|---|
| 1405116593 | NV | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A List Family Services, LLC | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1710357611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4378 WOODWELL ST.",
"address_2": "UNIT D.",
"city": "LAS VEGAS",
"state": "CA",
"postal_code": "891477145",
"telephone_number": "702-337-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 E. PATRICK LANE",
"address_2": "SUITE 101",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891204902",
"telephone_number": "702-998-6264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "CELESTINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-05",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NV",
"license": "1405116593",
"primary": true
}
],
"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 Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.