NPIMap

Organization Active NPI

Scott R Carlson

  • Mental Health Counselor
  • Henderson, NV
National Provider Identifier
1750715041
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SCOTT R CARLSON
Practice address
80 S Gibson Rd
Apt. # 2312
Henderson, NV 89012-2432
Phone
(702) 306-6612
NPI assigned
Aug 22, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Mr. Scott R Carlson
Title
Qba
Phone
(702) 306-6612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

80 S Gibson Rd
Apt. # 2312
Henderson, NV 89012-2432

Mailing address

80 S Gibson Rd
Apt. # 2312
Henderson, NV 89012-2432
Phone (702) 306-6612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1750715041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S GIBSON RD",
            "address_2": "APT. # 2312",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122432",
            "telephone_number": "702-306-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S GIBSON RD",
            "address_2": "APT. # 2312",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890122432",
            "telephone_number": "702-306-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R CARLSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "QBA",
        "authorized_official_telephone_number": "702-306-6612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.