Individual provider Active NPI

Alexander Gonzalez Hechevarria

  • Counselor
  • Las Vegas, NV
National Provider Identifier
1730719493
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
5130 S Pecos Rd Ste 1B
Las Vegas, NV 89120-1248
Phone
(702) 410-5090
Fax
(702) 405-8951
NPI assigned
Jan 22, 2020
Last updated
Jan 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NV Primary

Addresses

Primary practice location

5130 S Pecos Rd Ste 1B
Las Vegas, NV 89120-1248

Mailing address

5130 S Pecos Rd Ste 1B
Las Vegas, NV 89120-1248
Phone (702) 410-5090

Other identifiers 1

IdentifierTypeStateIssuer
1194223495MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ICANOTES Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newway Neurotherapy Health and Wellness PastSince Jan 26, 2020 Accepting new patients
Newway Neurotherapy Health and Wellness PastSince Jan 26, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1730719493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 S PECOS RD STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201248",
            "telephone_number": "702-410-5090",
            "fax_number": "702-405-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 S PECOS RD STE 1B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201248",
            "telephone_number": "702-410-5090",
            "fax_number": "702-405-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ HECHEVARRIA",
        "first_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194223495",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ICANOTES",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5130 S Pecos Rd Ste 1B",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891201248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.