Individual provider Active NPI

Lauren Blank

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1891440442
Registry record updated Feb 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CI5070 Issued in NV
Practice address
1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910
Phone
(702) 757-8720
NPI assigned
Feb 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CI5070 NV Primary

Addresses

Primary practice location

1607 E Windmill LN Ste 300
Las Vegas, NV 89123-1910

Mailing address

3514 Punta Tersiva LN
Henderson, NV 89044-1836
Phone (561) 312-0432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107001573 NV Practitioner - Marriage and Family Therapist 7719411107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CI5070NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Theravada Mental Health LLC CurrentSince Aug 23, 2024 Accepting new patients

Locations

2445 Fire Mesa St
Ste 270
Las Vegas, NV 89128
Phone (702) 212-3008

2701 N Tenaya Way
Ste 200
Las Vegas, NV 89128
Phone (702) 757-8720

1607 E Windmill Ln
Ste 300
Las Vegas, NV 89123
Phone (702) 757-8720

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": "1644624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644624000000",
    "number": "1891440442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3514 PUNTA TERSIVA LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890441836",
            "telephone_number": "561-312-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E WINDMILL LN STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231910",
            "telephone_number": "702-757-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-12",
        "last_updated": "2022-02-12",
        "certification_date": "2022-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CI5070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.