Family First Wellness Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAMILY FIRST WELLNESS CENTER, LLC

Practice address

1011 Villa Grove Ave
North Las Vegas, NV 89030-4706

Phone

(702) 626-0015

NPI assigned

Mar 15, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Nicole Bradshaw-Ransom

Title

Director

Phone

(702) 884-0233

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Nicole Bradshaw

  • Mental Health Counselor
  • North Las Vegas, NV
  • NPI 1851829436
  NPD

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1871178574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD # 7115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-884-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 VILLA GROVE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890304706",
            "telephone_number": "702-626-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FIRST WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW-RANSOM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-884-0233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS IDENIFIVATION NUMBER",
            "identifier": "NV20191241196",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.familyfirstwellcenter.com",
            "affiliation": "N",
            "endpointDescription": "company website/email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Voice Call",
            "address_1": "1011 Villa Grove Ave",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890304706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lucy Villahermosa Fajardo, OWNER
• Mark David Fajardo, APRN, PMHNP-BC
• Reza Fakharpour
• Henrita Fallen
• Family Care Orthodontics
• Family Focus Center LLC
• Family Healthcare Dual Diagnosis
• Family Hope Behavioral Services LLC
• Family Medical Pharmacy, LLC
• Family Medical Pharmacy, LLC

• Mental Health Counselor in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.