Active NPI
Renew & Recover Medical Center
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1811710437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RENEW & RECOVER MEDICAL CENTER
- Practice address
- 2835 S Jones Blvd
Las Vegas, NV 89146-5307 - Phone
- (725) 336-4739
- NPI assigned
- Nov 2, 2024
- Last updated
- Nov 2, 2024
- 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
- Ojoma Okotie Brothers
- Title
- Manager
- Phone
- (702) 525-7918
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2835 S Jones Blvd
Las Vegas, NV 89146-5307
Mailing address
2835 S Jones Blvd
Las Vegas, NV 89146-5307
Phone (725) 336-4739
National Provider Directory
National Provider DirectoryLocations
2835 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 951-2243
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730505600000",
"number": "1811710437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465307",
"telephone_number": "725-336-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 S JONES BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891465307",
"telephone_number": "725-336-4739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW & RECOVER MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-02",
"last_updated": "2024-11-02",
"certification_date": "2024-11-02",
"status": "A",
"authorized_official_last_name": "OKOTIE BROTHERS",
"authorized_official_first_name": "OJOMA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "702-525-7918"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"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 Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.