NPIMap

Organization Active NPI

Labante Counseling & Education Services

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1780192278
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5116-S Issued in NV
Legal business name
LABANTE COUNSELING & EDUCATION SERVICES
Practice address
4580 S Eastern Ave Ste 31
Las Vegas, NV 89119-6100
Phone
(725) 314-8472
Fax
(866) 280-9477
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Authorized official

Name
Dr. Ayele Elavagnon Amavigan, ED.D, MSW, LSWNPI 1497921605
Title
Managing Director
Phone
(702) 806-9143

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 5116-S NV Primary

Addresses

Primary practice location

4580 S Eastern Ave Ste 31
Las Vegas, NV 89119-6100

Mailing address

6121 Meadow View LN
Las Vegas, NV 89103-1121
Phone (702) 806-9143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240715001781 NV Part B Supplier - Clinic/Group Practice 1355886342 Receives reassigned benefits from 6 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4580 S Eastern Ave
Ste 31
Las Vegas, NV 89119
Phone (725) 314-8472

Practitioners & affiliated clinicians

Practitioners 7

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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1780192278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 MEADOW VIEW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031121",
            "telephone_number": "702-806-9143",
            "fax_number": "866-280-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 S EASTERN AVE STE 31",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196100",
            "telephone_number": "725-314-8472",
            "fax_number": "866-280-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABANTE COUNSELING & EDUCATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "AMAVIGAN",
        "authorized_official_first_name": "AYELE",
        "authorized_official_middle_name": "ELAVAGNON",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "702-806-9143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D, MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "5116-S",
            "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 Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.