Active NPI
JMD Counseling & Outreach Center
- Community/Behavioral Health Agency
- Las Vegas, NV
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- NV20141517421
- Legal business name
- JMD COUNSELING & OUTREACH CENTER
- Practice address
- 452 E Silverado Ranch Blvd
Suite 106
Las Vegas, NV 89183-6290 - Phone
- (702) 496-5184
- NPI assigned
- Aug 21, 2014
- Last updated
- Aug 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Walker
- Title
- Director
- Phone
- (702) 496-5184
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NV20141517421 | NV | Primary |
Addresses
Primary practice location
452 E Silverado Ranch Blvd
Suite 106
Las Vegas, NV 89183-6290
Mailing address
452 E Silverado Ranch Blvd
Suite 106
Las Vegas, NV 89183-6290
Phone (702) 496-5184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Analyst
- Las Vegas, NV
- NPI 1225461312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408579200000",
"number": "1760881106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 E SILVERADO RANCH BLVD",
"address_2": "SUITE 106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891836290",
"telephone_number": "702-496-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "452 E SILVERADO RANCH BLVD",
"address_2": "SUITE 106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891836290",
"telephone_number": "702-496-5184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JMD COUNSELING & OUTREACH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-496-5184"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": "NV20141517421",
"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 Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.