Organization Active NPI

Pioneer Family Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1902267883
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20161139243 Issued in NV
Legal business name
PIONEER FAMILY SERVICES LLC
Practice address
5550 W Flamingo Rd Ste D2
Las Vegas, NV 89103-0138
Phone
(702) 984-1192
Fax
(702) 485-1107
NPI assigned
Mar 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Mr. Kenneth Todd Pehrson, LCSW
Title
Clinical Director
Phone
(702) 823-9042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20161139243 NV Primary

Addresses

Primary practice location

5550 W Flamingo Rd Ste D2
Las Vegas, NV 89103-0138

Mailing address

5550 W Flamingo Rd Ste D2
Las Vegas, NV 89103-0138
Phone (702) 984-1192

National Provider Directory

National Provider Directory

Locations

5426 Vegas Dr
Las Vegas, NV 89108
Phone (702) 806-5268

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1902267883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 W FLAMINGO RD STE D2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030138",
            "telephone_number": "702-984-1192",
            "fax_number": "702-485-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 W FLAMINGO RD STE D2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891030138",
            "telephone_number": "702-984-1192",
            "fax_number": "702-485-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "PEHRSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "702-823-9042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20161139243",
            "primary": true
        }
    ],
    "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 Aug 19, 2016; 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.