Individual provider Active NPI

Toney Wendell Stephenson

  • Case Manager/Care Coordinator
  • Las Vegas, NV
National Provider Identifier
1780964007
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
953 E Sahara Ave Ste B27
Las Vegas, NV 89104-3042
Phone
(702) 204-0150
Fax
(024) 622-5997
NPI assigned
Aug 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 17347 NV
Behavior Analyst 103K00000X
Marriage & Family Therapist 106H00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

953 E Sahara Ave Ste B27
Las Vegas, NV 89104-3042

Mailing address

953 E Sahara Ave Ste B27
Las Vegas, NV 89104-3042
Phone (702) 204-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17347NVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Nevada LLC Current Accepting new patients
Transitions Too Marriage & Family Therapist CurrentSince Mar 17, 2024 Accepting new patients
Integrated Life Management Services Current Accepting new patients

Locations

953 E Sahara Ave
Ste B27
Las Vegas, NV 89104
Phone (702) 204-0150

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1780964007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 E SAHARA AVE STE B27",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043042",
            "telephone_number": "702-204-0150",
            "fax_number": "024-622-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 E SAHARA AVE STE B27",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043042",
            "telephone_number": "702-204-0150",
            "fax_number": "024-622-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "TONEY",
        "middle_name": "WENDELL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "17347",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "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 Mar 15, 2024; 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.