NPIMap

Organization Active NPI

Victory Alliance LLC

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1790158475
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VICTORY ALLIANCE LLC
Practice address
222 S Rainbow Blvd Ste 107
Las Vegas, NV 89145-5343
Phone
(702) 912-5404
Fax
(702) 786-6911
NPI assigned
Nov 4, 2015
Last updated
Jul 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Alexandra LaplanteNPI 1376774711
Title
Owner
Phone
(702) 378-6092

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 NU Primary

Addresses

Primary practice location

222 S Rainbow Blvd Ste 107
Las Vegas, NV 89145-5343

Mailing address

222 S Rainbow Blvd Ste 107
Las Vegas, NV 89145-5343
Phone (702) 912-5404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170922003457 NV Part B Supplier - Clinic/Group Practice 6406120872 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

222 S Rainbow Blvd
Ste 107
Las Vegas, NV 89145
Phone (702) 378-6092

3355 Spring Mountain Rd
Ste 48
Las Vegas, NV 89102
Phone (702) 287-7713

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1790158475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S RAINBOW BLVD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455343",
            "telephone_number": "702-912-5404",
            "fax_number": "702-786-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S RAINBOW BLVD STE 107",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455343",
            "telephone_number": "702-912-5404",
            "fax_number": "702-786-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "LAPLANTE",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-378-6092"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "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 Jul 29, 2021; 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.