Organization Active NPI

Sound Mind Counseling Center, LLC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1780275297
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOUND MIND COUNSELING CENTER, LLC
Practice address
5580 W Flamingo Rd Ste 107
Las Vegas, NV 89103-0165
Phone
(702) 724-3438
Fax
(702) 924-0628
NPI assigned
Jan 27, 2021
Last updated
Jun 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Authorized official

Name
Veronica Perez-Kahl, LCSWNPI 1427315019
Title
Owner/Therapist
Phone
(702) 724-3438

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5580 W Flamingo Rd Ste 107
Las Vegas, NV 89103-0165

Mailing address

5580 W Flamingo Rd Ste 107
Las Vegas, NV 89103-0165
Phone (702) 724-3438

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210505001028 NV Part B Supplier - Clinic/Group Practice 3971912858 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1780275297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 W FLAMINGO RD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030165",
            "telephone_number": "702-724-3438",
            "fax_number": "702-924-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 W FLAMINGO RD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030165",
            "telephone_number": "702-724-3438",
            "fax_number": "702-924-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "PEREZ-KAHL",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "702-724-3438",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 28, 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.