Organization Active NPI

The Valley Wellness Group LLC

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1851819148
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE VALLEY WELLNESS GROUP LLC
Practice address
7575 W Washington Ave Ste 127187
Las Vegas, NV 89128-4333
Phone
(702) 202-2449
NPI assigned
Sep 6, 2017
Last updated
Jan 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Michelle R AndersonNPI 1578081253
Title
Owner
Phone
(702) 202-2449

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

7575 W Washington Ave Ste 127187
Las Vegas, NV 89128-4333

Mailing address

7575 W Washington Ave Ste 127187
Las Vegas, NV 89128-4333
Phone (702) 202-2449

Other identifiers 1

IdentifierTypeStateIssuer
1851819148MedicaidNV

National Provider Directory

National Provider Directory

Locations

7575 W Washington Ave
Ste 127187
Las Vegas, NV 89128
Phone (702) 202-2449

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": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1851819148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 W WASHINGTON AVE STE 127187",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284333",
            "telephone_number": "702-202-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7575 W WASHINGTON AVE STE 127187",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891284333",
            "telephone_number": "702-202-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VALLEY WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-202-2449"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851819148",
            "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 Jan 8, 2019; 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.