Active NPI
Jesus Saves Family Church
- Mental Health Counselor
- North Las Vegas, NV
National Provider Identifier
1811245244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- JESUS SAVES FAMILY CHURCH
- Practice address
- 3925 North Martin Luther King, Boulevard, Suite 117
North Las Vegas, NV 89032 - Phone
- (702) 726-7175
- NPI assigned
- Aug 15, 2012
- 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
- Dr. Denise Thomas
- Title
- Executive Director
- Phone
- (702) 726-7175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3925 North Martin Luther King, Boulevard, Suite 117
North Las Vegas, NV 89032
Mailing address
3925 North Martin Luther King, Boulevard, Suite 117
North Las Vegas, NV 89032
Phone (702) 726-7175
Other names 1
- Base Community Services
National Provider Directory
National Provider Directory- Tax ID family
- Jesus Saves Family Church
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- North Las Vegas, NV
- NPI 1003174145
-
- Mental Health Counselor
- North Las Vegas, NV
- NPI 1184982886
Locations
3925 N Martin L King Blvd
Ste 117
North Las Vegas, NV 89032
Phone (702) 610-1715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348963200000",
"number": "1811245244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 NORTH MARTIN LUTHER KING, BOULEVARD, SUITE 117",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-726-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 NORTH MARTIN LUTHER KING, BOULEVARD, SUITE 117",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "89032",
"telephone_number": "702-726-7175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESUS SAVES FAMILY CHURCH",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-15",
"last_updated": "2012-09-30",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "702-726-7175",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Base Community Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.