NPIMap

Organization Active NPI

Headsup Guidance and Wellness Centers of Nevada

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1780813451
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1007683490 Issued in NV
Legal business name
HEADSUP GUIDANCE AND WELLNESS CENTERS OF NEVADA
Practice address
340 N 11TH St
Suite 100
Las Vegas, NV 89101-3125
Phone
(702) 922-7015
Fax
(702) 922-6600
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Mrs. Judy Ann White, BSW
Title
Director of Administration
Phone
(702) 845-2939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1007683490 NV Primary

Addresses

Primary practice location

340 N 11TH St
Suite 100
Las Vegas, NV 89101-3125

Mailing address

340 N 11TH St
Suite 100
Las Vegas, NV 89101-3125
Phone (702) 922-7015

Other identifiers 1

IdentifierTypeStateIssuer
1881842953MedicaidNV

National Provider Directory

National Provider Directory

Locations

340 N 11th St
Ste 100
Las Vegas, NV 89101
Phone (702) 922-7015

Practitioners & affiliated clinicians

Practitioners 5

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": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1780813451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N 11TH ST",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013125",
            "telephone_number": "702-922-7015",
            "fax_number": "702-922-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N 11TH ST",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013125",
            "telephone_number": "702-922-7015",
            "fax_number": "702-922-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADSUP GUIDANCE AND WELLNESS CENTERS OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "702-845-2939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "1007683490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881842953",
            "state": "NV"
        }
    ],
    "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 Jul 2, 2009; 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.