Active NPI
Leo James Magrdichian, MSW, LSW, LADC
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1811275498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 01495-L
- Practice address
- 401 S Martin Luther King Blvd
Las Vegas, NV 89106-4313 - Phone
- (702) 872-5382
- Fax
- (702) 872-5381
- NPI assigned
- Jul 29, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01495-L | NV | Primary |
| Social Worker | 104100000X | 6331-S | NV | |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
401 S Martin Luther King Blvd
Las Vegas, NV 89106-4313
Mailing address
401 S Martin Luther King Blvd
Las Vegas, NV 89106-4313
Phone (702) 872-5382
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 |
|---|---|---|---|
| 01495-L | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 6331-S | NV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westcare Nevada Inc | Past | Accepting new patients | |
| Westcare Nevada Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1437567286
-
- Substance Abuse Rehabilitation Facility
- Las Vegas, NV
- NPI 1669819934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1811275498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S MARTIN LUTHER KING BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064313",
"telephone_number": "702-872-5382",
"fax_number": "702-872-5381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S MARTIN LUTHER KING BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064313",
"telephone_number": "702-872-5382",
"fax_number": "702-872-5381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGRDICHIAN",
"first_name": "LEO",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "MSW, LSW, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-29",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "01495-L",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "6331-S",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"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 Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.