Organization Active NPI

Creative Approach Program

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1760801427
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
E0094762014-2 Issued in NV
Legal business name
CREATIVE APPROACH PROGRAM
Practice address
11489 Steponia Bay St
Las Vegas, NV 89141-3219
Phone
(702) 232-8207
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Ms. Gwendolyn Laverne BellNPI 1992127302
Title
Owner
Phone
(702) 232-8207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X E0094762014-2 NV Primary

Addresses

Primary practice location

11489 Steponia Bay St
Las Vegas, NV 89141-3219

Mailing address

11489 Steponia Bay St
Las Vegas, NV 89141-3219
Phone (702) 232-8207

Other identifiers 1

IdentifierTypeStateIssuer
1992127302MedicaidNV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1760801427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11489 STEPONIA BAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413219",
            "telephone_number": "702-232-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11489 STEPONIA BAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413219",
            "telephone_number": "702-232-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE APPROACH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-232-8207",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "E0094762014-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992127302",
            "state": "NV"
        }
    ],
    "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 10, 2014; 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.