Individual provider Active NPI

Marandia Badger

  • Counselor
  • North Las Vegas, NV
National Provider Identifier
1871815472
Registry record updated Feb 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3304 Conterra Park Ave
North Las Vegas, NV 89081-6537
Phone
(702) 685-1899
Fax
(702) 685-1799
NPI assigned
Feb 23, 2010
Sex
Female
Sole proprietor
No

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.

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
Proceeding Life Inc. Current Accepting new patients

NPPES NPI Registry

Updated by the provider on Feb 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

3304 Conterra Park Ave
North Las Vegas, NV 89081-6537

Mailing address

4180 S Pecos Rd
Las Vegas, NV 89121-5074
Phone (702) 685-1899

Other identifiers 1

IdentifierTypeStateIssuer
GF-125401000-0015OtherNVFACILITY NUMBER

NPI Registry JSON

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1871815472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 S PECOS RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215074",
            "telephone_number": "702-685-1899",
            "fax_number": "702-685-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 CONTERRA PARK AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890816537",
            "telephone_number": "702-685-1899",
            "fax_number": "702-685-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGER",
        "first_name": "MARANDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NUMBER",
            "identifier": "GF-125401000-0015",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.