Organization Active NPI

Renew & Recover Medical Center

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1811710437
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Authorized official

Name
Ojoma Okotie BrothersNPI 1346949807
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.