Individual provider Active NPI

Kavita K. Kanoza, LCSW

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1871891879
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7052-C Issued in NV
Practice address
4580 S Eastern Ave Ste 33
Las Vegas, NV 89119-6100
Phone
(702) 329-4937
NPI assigned
Mar 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7052-C NV Primary

Addresses

Primary practice location

4580 S Eastern Ave Ste 33
Las Vegas, NV 89119-6100

Mailing address

17 Reyburn Dr
Henderson, NV 89074-3347

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
7052-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nirvana Counseling (Kanoza), PLLC Clinical CurrentSince Nov 17, 2017 Accepting new patients

Locations

5836 S Pecos Rd
#202
Las Vegas, NV 89120

9550 S Eastern Ave
Ste 220
Las Vegas, NV 89123
Phone (702) 494-8085

4580 S Eastern Ave
Ste 33
Las Vegas, NV 89119
Phone (702) 518-2911

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": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1871891879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 REYBURN DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 S EASTERN AVE STE 33",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196100",
            "telephone_number": "702-329-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOZA",
        "first_name": "KAVITA",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "7052-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 11, 2022; 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.