Supportive Community Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SUPPORTIVE COMMUNITY SERVICES LLC

Practice address

2432 W Peoria Ave
Phoenix, AZ 85029-4726

Phone

(702) 526-4573

Fax

(702) 202-1180

NPI assigned

Jan 8, 2020

Organization subpart

No

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

Authorized official

Name

Miss Niesha S. Allen

Title

Director

Phone

(702) 526-4573

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Supportive Community Services LLC Doing business as

Practitioners 1

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

• Neisha Allen

  • Rehabilitation Counselor
  • North Las Vegas, NV
  • NPI 1902185622
  NPD

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1770123614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 WHITMAN FALLS DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296355",
            "telephone_number": "702-526-4573",
            "fax_number": "702-202-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W PEORIA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294726",
            "telephone_number": "702-526-4573",
            "fax_number": "702-202-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "NIESHA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-526-4573",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720451672",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supportive Community Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jayanthi Suppiah, M.D.
• Supplemental Healthcare
• Supplemental Healthcare
• Aysha Ursule Supplice, MD
• Supporting Your Birth, LLC
• Supportive Hands Hospice Inc
• Supportive Steps Behavioral Health LLC
• Supreme Acupuncture, LLC
• Supreme Care Hospice Inc
• Supreme Counsel PLLC

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.