Beacon of Hope Wellness Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BEACON OF HOPE WELLNESS CENTER, LLC

Practice address

5575 Simmons St Ste 1-191
North Las Vegas, NV 89031-9009

Phone

(702) 604-3792

NPI assigned

Jan 15, 2019

Last updated

Jan 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shakiyah JonesNPI 1649844127

Title

Owner

Phone

(702) 604-3792

Specialties & licenses 1

Addresses

Locations

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.

• Shakiyah Jones

  • Mental Health Counselor
  • North Las Vegas, NV
  • NPI 1649844127
  Authorized official Same address or phone

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1760956478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 SIMMONS ST STE 1-191",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319009",
            "telephone_number": "702-604-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 SIMMONS ST STE 1-191",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890319009",
            "telephone_number": "702-604-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF HOPE WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SHAKIYAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-604-3792"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonor Bayardjimenez
• Maria Elena Bazan
• Curtis Eugene Bazemore Jr., M.D.
• Vernita Catherine Beach, LMSW, CSW-I
• Michelle L Beachler
• Milagros Boduan Beals
• Shavonna Beals
• Javon Beard
• Tiffany Beard
• Beautiful Minds Behavioral Health Facility LLC

• Mental Health Counselor in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.