180 Community Wellness Centers, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5901-C Issued in NV

Legal business name

180 COMMUNITY WELLNESS CENTERS, LLC

Practice address

3435 W. Craig Road
Suite a
North Las Vegas, NV 89032-5116

Phone

(702) 675-6314

Fax

(702) 476-9697

NPI assigned

Sep 20, 2012

Last updated

Dec 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Ericka L Severs, LCSWNPI 1629309208

Title

Ceo

Phone

(702) 675-6314

Specialties & licenses 1

Addresses

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.

• Ericka L Severs, LCSW

  • Clinical Social Worker
  • North Las Vegas, NV
  • NPI 1629309208
  Authorized official Same address or phone

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1841541620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 W. CRAIG ROAD",
            "address_2": "SUITE A",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325116",
            "telephone_number": "702-675-6314",
            "fax_number": "702-476-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 W. CRAIG ROAD",
            "address_2": "SUITE A",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325116",
            "telephone_number": "702-675-6314",
            "fax_number": "702-476-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "180 COMMUNITY WELLNESS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "SEVERS",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-675-6314",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "5901-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 180 Community Wellness Centers, LLC
• 180 Community Wellness Centers, LLC
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• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.