Active NPI
Pioneer Family Services LLC
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1902267883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- NV20161139243
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.