Organization Active NPI

Virgin Valley Mental Health LLC

  • Clinical Social Worker
  • Mesquite, NV
National Provider Identifier
1851027643
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIRGIN VALLEY MENTAL HEALTH LLC
Practice address
190 E Mesquite Blvd Unit J
Mesquite, NV 89027-4790
Phone
(702) 807-3289
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Mr. David Taylor, LCSWNPI 1881903581
Title
President
Phone
(702) 807-3289

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

190 E Mesquite Blvd Unit J
Mesquite, NV 89027-4790

Mailing address

157 Pebble Creek HTS
Mesquite, NV 89027-5323
Phone (702) 807-3289

Other identifiers 1

IdentifierTypeStateIssuer
1881903581MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921000088 NV Part B Supplier - Clinic/Group Practice 3678958006 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, NV

National Provider Directory

National Provider Directory

Locations

736 W Pioneer Blvd
Ste 108B
Mesquite, NV 89027
Phone (702) 807-3289

736 W Pioneer Blvd
Ste 108
Mesquite, NV 89027
Phone (702) 807-3289

190 E Mesquite Blvd
Unit J
Mesquite, NV 89027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1851027643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PEBBLE CREEK HTS",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890275323",
            "telephone_number": "702-807-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E MESQUITE BLVD UNIT J",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274790",
            "telephone_number": "702-807-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIN VALLEY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-807-3289",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881903581",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.