Active NPI
Evolving Minds Behavioral Health Services
- Clinical Social Worker
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- EVOLVING MINDS BEHAVIORAL HEALTH SERVICES
- Practice address
- 1771 E Flamingo Rd Ste 106a
Las Vegas, NV 89119-5156 - Phone
- (702) 318-7544
- Fax
- (702) 478-6012
- NPI assigned
- Jun 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jollene Stiles-Bradsher, LCSW
- Title
- Owner
- Phone
- (702) 318-7544
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1771 E Flamingo Rd Ste 106a
Las Vegas, NV 89119-5156
Mailing address
1771 E Flamingo Rd Ste 106a
Las Vegas, NV 89119-5156
Phone (702) 318-7544
Other practice location 1
2030 E Flamingo Rd Ste 140
Las Vegas, NV 89119-0831
Phone (702) 318-7544
National Provider Directory
National Provider DirectoryLocations
1771 E Flamingo Rd
Ste 106A
Las Vegas, NV 89119
Phone (702) 318-7544
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1780953844
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1124032214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610582400000",
"number": "1801454673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 E FLAMINGO RD STE 106A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195156",
"telephone_number": "702-318-7544",
"fax_number": "702-478-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 E FLAMINGO RD STE 106A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195156",
"telephone_number": "702-318-7544",
"fax_number": "702-478-6012"
}
],
"practiceLocations": [
{
"address_1": "2030 E Flamingo Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891190831",
"country_code": "US",
"telephone_number": "702-318-7544",
"fax_number": "702-478-6012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EVOLVING MINDS BEHAVIORAL HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-05",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A",
"authorized_official_last_name": "STILES-BRADSHER",
"authorized_official_first_name": "JOLLENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-318-7544",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"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 Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.