Individual provider Active NPI

Sabrina S Santa Clara, LCPC, LPC, R-DMT

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1740503267
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4252 Vader Ave
Las Vegas, NV 89120-2138
Phone
(951) 378-5868
Fax
(702) 456-0492
NPI assigned
Mar 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4252 Vader Ave
Las Vegas, NV 89120-2138

Mailing address

2764 N Green Valley Pkwy # 503
Henderson, NV 89014-2120
Phone (951) 378-5868

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
Sabrina Santa Clara, PLLC 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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1740503267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 N GREEN VALLEY PKWY # 503",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142120",
            "telephone_number": "951-378-5868",
            "fax_number": "702-456-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4252 VADER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891202138",
            "telephone_number": "951-378-5868",
            "fax_number": "702-456-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA CLARA",
        "first_name": "SABRINA",
        "middle_name": "S",
        "credential": "LCPC, LPC, R-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Apr 25, 2017; 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.