NPIMap

Organization Active NPI

Smart Start Independent Living LLC

  • Mental Health Counselor
  • Henderson, NV
National Provider Identifier
1902485113
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SMART START INDEPENDENT LIVING LLC
Practice address
1550 W Horizon Ridge Pkwy # R579
Henderson, NV 89012-3600
Phone
(760) 596-5999
NPI assigned
Apr 5, 2021
Last updated
Apr 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Authorized official

Name
Donna McCall MylesNPI 1467031682
Title
Owner/Manager
Phone
(760) 596-5999

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 Counselor 101YM0800X NU Primary
Lodging Provider 177F00000X NU
Case Management Agency 251B00000X NU

Addresses

Primary practice location

1550 W Horizon Ridge Pkwy # R579
Henderson, NV 89012-3600

Mailing address

1550 W Horizon Ridge Pkwy # R579
Henderson, NV 89012-3600
Phone (760) 596-5999

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.therapynotes.com/features/ Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1550 W Horizon Ridge Pkwy
#R579
Henderson, NV 89012
Phone (760) 596-5999

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617580800000",
    "number": "1902485113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY # R579",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600",
            "telephone_number": "760-596-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W HORIZON RIDGE PKWY # R579",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123600",
            "telephone_number": "760-596-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART START INDEPENDENT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A",
        "authorized_official_last_name": "MCCALL MYLES",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "760-596-5999"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.therapynotes.com/features/",
            "affiliation": "N",
            "endpointDescription": "EHR software",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1550 W Horizon Ridge Pkwy # R579",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890123600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.