NPIMap

Organization Active NPI

Independent Choices for Success Community Development Corporation

  • Marriage & Family Therapist
  • N Las Vegas, NV
National Provider Identifier
1801109418
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
INDEPENDENT CHOICES FOR SUCCESS COMMUNITY DEVELOPMENT CORPORATION
Practice address
320 Princess Ave
N Las Vegas, NV 89030-3809
Phone
(702) 573-5812
NPI assigned
Jul 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Phyllis Jones-Jefferson
Title
President
Phone
(702) 573-5812

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Local Education Agency (LEA) 251300000X
Case Management Agency 251B00000X
Voluntary or Charitable Agency 251V00000X
Non-Surgical Family Planning Clinic/Center 261QF0050X
Genetics Clinic/Center 261QG0250X
Health Service Clinic/Center 261QH0100X
Private Vehicle 347C00000X

Addresses

Primary practice location

320 Princess Ave
N Las Vegas, NV 89030-3809

Mailing address

320 Princess Ave
N Las Vegas, NV 89030-3809

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1801109418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PRINCESS AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890303809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PRINCESS AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890303809",
            "telephone_number": "702-573-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT CHOICES FOR SUCCESS COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "JONES-JEFFERSON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-573-5812"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.