Active NPI
Jaclyn Caro
- Rehabilitation Practitioner
- Pahrump, NV
National Provider Identifier
1851685374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 233978671
- Practice address
- 2780 Homestead Rd Ste 201
Pahrump, NV 89048-5757 - Phone
- (775) 727-0101
- NPI assigned
- Jun 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 233978671 | NV | Primary |
Addresses
Primary practice location
2780 Homestead Rd Ste 201
Pahrump, NV 89048-5757
Mailing address
2780 Homestead Rd Ste 201
Pahrump, NV 89048-5757
Phone (775) 727-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 233978671 | Other | NV | 225400000X REHABILITATION PRACTIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233978671 | NV | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H.O.P.E. Counseling Services LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Las Vegas, NV
- NPI 1518133529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1851685374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 HOMESTEAD RD STE 201",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890485757",
"telephone_number": "775-727-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 HOMESTEAD RD STE 201",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890485757",
"telephone_number": "775-727-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARO",
"first_name": "JACLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-01",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NV",
"license": "233978671",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "225400000X REHABILITATION PRACTIONER",
"identifier": "233978671",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pahrump, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.