NPIMap

Organization Active NPI

Therapy of Southern Nevada LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1821698556
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THERAPY OF SOUTHERN NEVADA LLC
Practice address
3340 Topaz St Ste 170
Las Vegas, NV 89121-3906
Phone
(702) 268-7604
Fax
(702) 442-8840
NPI assigned
Oct 30, 2020
Last updated
Apr 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Mr. Joe Whitley Jr.
Title
Owner
Phone
(702) 268-7604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3340 Topaz St Ste 170
Las Vegas, NV 89121-3906

Mailing address

3340 Topaz St Ste 170
Las Vegas, NV 89121-3906
Phone (702) 268-7604

Other identifiers 1

IdentifierTypeStateIssuer
250011146MedicaidNV

National Provider Directory

National Provider Directory

Locations

3340 Topaz St
Ste 170
Las Vegas, NV 89121
Phone (702) 268-7604

4100 W Flamingo Rd
Ste 1442
Las Vegas, NV 89103
Phone (702) 326-3326

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1821698556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 TOPAZ ST STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213906",
            "telephone_number": "702-268-7604",
            "fax_number": "702-442-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TOPAZ ST STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213906",
            "telephone_number": "702-268-7604",
            "fax_number": "702-442-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY OF SOUTHERN NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-268-7604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250011146",
            "state": "NV"
        }
    ],
    "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 Apr 21, 2022; 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.