Active NPI
Eric Raymond Hentnik
- Professional Counselor
- Las Vegas, NV
National Provider Identifier
1801335666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CI0233
- Practice address
- 3243 E Warm Springs Rd
Las Vegas, NV 89120-3185 - Phone
- (702) 434-7290
- Fax
- (702) 434-6940
- NPI assigned
- Feb 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CI0233 | NV | Primary |
Addresses
Primary practice location
3243 E Warm Springs Rd
Las Vegas, NV 89120-3185
Mailing address
3243 E Warm Springs Rd
Las Vegas, NV 89120-3185
Phone (702) 434-7290
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
| License | State | Type | Specialty |
|---|---|---|---|
| CI0233 | NV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1801335666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3243 E WARM SPRINGS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203185",
"telephone_number": "702-434-7290",
"fax_number": "702-434-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3243 E WARM SPRINGS RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203185",
"telephone_number": "702-434-7290",
"fax_number": "702-434-6940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENTNIK",
"first_name": "ERIC",
"middle_name": "RAYMOND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-13",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CI0233",
"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 Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.