Individual provider Active NPI

Colin Horsford

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1871107888
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
212 S Jones Blvd
Las Vegas, NV 89107-2657
Phone
(702) 639-1940
NPI assigned
Sep 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

212 S Jones Blvd
Las Vegas, NV 89107-2657

Mailing address

212 S Jones Blvd
Las Vegas, NV 89107-2657

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL colin.horsford@gmail.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Pleasant Services LLC Community/Behavioral Health Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1871107888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072657",
            "telephone_number": "702-639-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSFORD",
        "first_name": "COLIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "colin.horsford@gmail.com",
            "affiliation": "N",
            "address_1": "212 S Jones Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891072657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 7, 2020; 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.