Phoenix Mental Health, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PHOENIX MENTAL HEALTH, PLLC

Doing business as

Phoenix Mental Health, PLLC

Practice address

7730 W Cheyenne Ave Ste 114
Las Vegas, NV 89129-8412

Phone

(702) 487-3242

Fax

(702) 508-4101

NPI assigned

Apr 12, 2022

Last updated

Oct 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aymara ValladaresNPI 1184865289

Title

President

Phone

(702) 487-3242

Specialties & licenses 1

Addresses

Other names 1

• PHOENIX MENTAL HEALTH, PLLC Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aymara Valladares, LMHC

  • Professional Counselor
  • Las Vegas, NV
  • NPI 1184865289

  Mental Health

  NPD Authorized official
• Bryan Valladares

  • Professional Counselor
  • Las Vegas, NV
  • NPI 1417686445

  Mental Health

  NPD

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1891437687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 GRAYSON LAKE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296614",
            "telephone_number": "702-867-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 W CHEYENNE AVE STE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298412",
            "telephone_number": "702-487-3242",
            "fax_number": "702-508-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "VALLADARES",
        "authorized_official_first_name": "AYMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-487-3242"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHOENIX MENTAL HEALTH, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phlebworx
• Vicki Pho
• Phoenix Behavioral Group LLC
• Phoenix Behavioral Group LV LLC (United Medical Group lv)
• Phoenix Care LLC
• Phoenix Pharmaceuticals Inc (phoenix Pharmacy)
• Phoenix Vision LLC (Evolve BodyMD)
• John R Phoenix, APRN
• Sophear Phoeuk
• Sue Phommachanh

• Mental Health Counselor in Las Vegas, NV
• Providers in 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 Oct 16, 2023; 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.