Organization Active NPI

MSCC LLC

Doing business as Mustard Seed Counseling Center

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1801376108
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CP0283 Issued in NV
Legal business name
MSCC LLC
Doing business as
Mustard Seed Counseling Center
Practice address
3753 Howard Hughes Pkwy Ste 234
Las Vegas, NV 89169-0938
Phone
(702) 417-1366
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Rasheda Linnea Anderson
Title
Ceo
Phone
(404) 437-0596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CP0283 NV Primary

Addresses

Primary practice location

3753 Howard Hughes Pkwy Ste 234
Las Vegas, NV 89169-0938

Mailing address

16 Delighted Ave
North Las Vegas, NV 89031-1393
Phone (404) 437-0596

Other practice location 1

16 Delighted Ave
North Las Vegas, NV 89031-1393
Phone (404) 437-0596

Other identifiers 1

IdentifierTypeStateIssuer
1699157727MedicaidNV

Other names 2

  • Mustard Seed Counseling Center Doing business as
  • MSCC Other name

National Provider Directory

National Provider Directory

Locations

3753 Howard Hughes Pkwy
Ste 234
Las Vegas, NV 89169
Phone (702) 417-1366

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1801376108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DELIGHTED AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890311393",
            "telephone_number": "404-437-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 HOWARD HUGHES PKWY STE 234",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891690938",
            "telephone_number": "702-417-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Delighted Ave",
            "address_purpose": "LOCATION",
            "city": "North Las Vegas",
            "state": "NV",
            "postal_code": "890311393",
            "country_code": "US",
            "telephone_number": "404-437-0596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MSCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RASHEDA",
        "authorized_official_middle_name": "LINNEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-437-0596"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "CP0283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699157727",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mustard Seed Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MSCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 29, 2019; 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.