NPIMap

Organization Active NPI

Centennial Family Services

  • Mental Health Counselor
  • North Las Vegas, NV
National Provider Identifier
1902167653
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CENTENNIAL FAMILY SERVICES
Practice address
3560 W Cheyenne Ave
Suite 130
North Las Vegas, NV 89032-8260
Phone
(702) 258-8023
NPI assigned
May 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Stephenia BurseyNPI 1134481856
Title
Program Director
Phone
(702) 258-8023

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3560 W Cheyenne Ave
Suite 130
North Las Vegas, NV 89032-8260

Mailing address

3560 W Cheyenne Ave
Suite 130
North Las Vegas, NV 89032-8260
Phone (702) 258-8023

Other names 1

  • Centennial Family Services LLC Other name

National Provider Directory

National Provider Directory

Locations

3560 W Cheyenne Ave
Ste 130
North Las Vegas, NV 89032
Phone (702) 258-8023

Practitioners & affiliated clinicians

Practitioners 7

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": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1902167653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 W CHEYENNE AVE",
            "address_2": "SUITE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328260",
            "telephone_number": "702-258-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3560 W CHEYENNE AVE",
            "address_2": "SUITE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328260",
            "telephone_number": "702-258-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "BURSEY",
        "authorized_official_first_name": "STEPHENIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "702-258-8023"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Family Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.