Individual provider Active NPI

Chris Alden Doss, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1861682494
Registry record updated May 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5298-C Issued in NV
Practice address
6600 W Charleston Blvd Ste 111
Las Vegas, NV 89146-1067
Phone
(702) 763-7443
Fax
(702) 763-7443
NPI assigned
Jul 30, 2007
Last updated
May 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5430188-3501 UT
Clinical Social Worker 1041C0700X 5298-C NV Primary

Addresses

Primary practice location

6600 W Charleston Blvd Ste 111
Las Vegas, NV 89146-1067

Mailing address

6600 W Charleston Blvd Ste 111
Las Vegas, NV 89146-1067
Phone (702) 763-7443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000042 NV Practitioner - Clinical Social Worker 6800997248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Counseling and Workforce ConnectionsGroup PAC ID 3678904851, 2 clinicians

Practice addresses (Care Compare)

6600 W Charleston Blvd
Suite 111
Las Vegas, NV 89146-1067
Phone (702) 763-7443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5430188-3501UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Citi Med Mental Health CurrentSince Aug 10, 2024 Accepting new patients
Pacifica Healthcare Providers LLC CurrentSince Aug 12, 2021 Accepting new patients
Community Counseling Center of Southern Utah Past Accepting new patients

Locations

5440 W Sahara Ave
Ste 202
Las Vegas, NV 89146
Phone (702) 296-4844

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1861682494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 W CHARLESTON BLVD STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461067",
            "telephone_number": "702-763-7443",
            "fax_number": "866-284-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W CHARLESTON BLVD STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461067",
            "telephone_number": "702-763-7443",
            "fax_number": "702-763-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSS",
        "first_name": "CHRIS",
        "middle_name": "ALDEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5430188-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5298-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.