Active NPI
Withers for Warriors
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1891269437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- WITHERS FOR WARRIORS
- Practice address
- 2134 N Gateway Rd
Las Vegas, NV 89115-5304 - Phone
- (702) 763-7377
- NPI assigned
- Jan 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessie Kuntz
- Title
- Founder/Owner
- Phone
- (702) 763-7377
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Counseling Psychologist | 103TC1900X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
2134 N Gateway Rd
Las Vegas, NV 89115-5304
Mailing address
2134 N Gateway Rd
Las Vegas, NV 89115-5304
Phone (702) 763-7377
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547596800000",
"number": "1891269437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2134 N GATEWAY RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891155304",
"telephone_number": "702-763-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2134 N GATEWAY RD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891155304",
"telephone_number": "702-763-7377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WITHERS FOR WARRIORS",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-16",
"last_updated": "2019-01-16",
"status": "A",
"authorized_official_last_name": "KUNTZ",
"authorized_official_first_name": "JESSIE",
"authorized_official_title_or_position": "FOUNDER/OWNER",
"authorized_official_telephone_number": "702-763-7377"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.