Organization Active NPI

International Neurohealth Centers LLC

Doing business as Nevada Neurohealth

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1871928226
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
NV20041128978 Issued in NV
Legal business name
INTERNATIONAL NEUROHEALTH CENTERS LLC
Doing business as
Nevada Neurohealth
Practice address
620 E. Twain Ave Ste. a
Las Vegas, NV 89169
Phone
(702) 437-9654
Fax
(702) 823-3381
NPI assigned
Sep 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Dr. Yolanda A Trevino, PHD, LMFTNPI 1437287927
Title
Ceo and President
Phone
(702) 437-9654

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X NV20041128978 NV Primary

Addresses

Primary practice location

620 E. Twain Ave Ste. a
Las Vegas, NV 89169

Mailing address

3395 S Jones Blvd
Ste. 345
Las Vegas, NV 89146-6729
Phone (702) 437-9654

Other names 1

  • Nevada Neurohealth Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171017002875 NV Part B Supplier - Clinic/Group Practice 4284900390 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5450 W Sahara Ave
Ste 300
Las Vegas, NV 89146
Phone (702) 437-9654

620 E Twain Ave
Ste A
Las Vegas, NV 89169
Phone (702) 437-9654

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1871928226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3395 S JONES BLVD",
            "address_2": "STE. 345",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466729",
            "telephone_number": "702-437-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E. TWAIN AVE STE. A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89169",
            "telephone_number": "702-437-9654",
            "fax_number": "702-823-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL NEUROHEALTH CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "702-437-9654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "NV20041128978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Neurohealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.