NPIMap

Organization Active NPI

Legacy Counseling and Workforce Connections

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1760027213
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LEGACY COUNSELING AND WORKFORCE CONNECTIONS
Doing business as
Legacy Counseling And Workforce Connections
Practice address
4170 S Decatur Blvd Ste 9
Las Vegas, NV 89103-5861
Phone
(702) 763-7443
Fax
(866) 284-1860
NPI assigned
Nov 7, 2019
Organization subpart
Yes
Parent organization
LEGACY COUNSELING AND WORKFORCE CONNECTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Chris A Doss
Title
Ceo
Phone
(702) 763-7443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4170 S Decatur Blvd Ste 9
Las Vegas, NV 89103-5861

Mailing address

4170 S Decatur Blvd Ste 9
Las Vegas, NV 89103-5861
Phone (702) 763-7443

Other names 1

  • Legacy Counseling And Workforce Connections Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Legacy Counseling and Work7 organizations share this tax ID, including this one
Part of
Legacy Counseling and Work

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4170 S Decatur Blvd
Ste 9
Las Vegas, NV 89103
Phone (702) 763-7443

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1760027213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 S DECATUR BLVD STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035861",
            "telephone_number": "702-763-7443",
            "fax_number": "866-284-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 S DECATUR BLVD STE 9",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035861",
            "telephone_number": "702-763-7443",
            "fax_number": "866-284-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY COUNSELING AND WORKFORCE CONNECTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY COUNSELING AND WORKFORCE CONNECTIONS",
        "enumeration_date": "2019-11-07",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-763-7443"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Counseling And Workforce Connections",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legacy Counseling And Workforce Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 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.