Individual provider Active NPI

Alejandro Alberto Leon

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1912287277
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1511P-S Issued in NV
Practice address
1909 S Jones Blvd
Las Vegas, NV 89146-1260
Phone
(702) 209-9403
NPI assigned
Aug 18, 2011
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1511P-S NV Primary
Marriage & Family Therapist 106H00000X NU

Addresses

Primary practice location

1909 S Jones Blvd
Las Vegas, NV 89146-1260

Mailing address

4424 Santa Clarita
Las Vegas, NV 89115
Phone (702) 209-9403

Other practice location 1

730 N Eastern Ave Ste 120
Las Vegas, NV 89101-2885
Phone (702) 772-4864

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
I20241009001603 NV Practitioner - Clinical Social Worker 5991236333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Mental HealthGroup PAC ID 3072813245, 9 clinicians

Practice addresses (Care Compare)

6048 S Durango Dr
Suite 115
Las Vegas, NV 89113-1781
Phone (702) 815-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1511P-SNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling LLC CurrentSince Jul 15, 2024 Accepting new patients
Serenity Mental Health CurrentSince Jul 14, 2025 Accepting new patients

Locations

755 N Roop St
Ste 101
Carson City, NV 89701
Phone (775) 841-6050

6048 S Durango Dr
Ste 115
Las Vegas, NV 89113
Phone (702) 815-1554

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1912287277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 SANTA CLARITA",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89115",
            "telephone_number": "702-209-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 S JONES BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461260",
            "telephone_number": "702-209-9403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 N Eastern Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891012885",
            "country_code": "US",
            "telephone_number": "702-772-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "ALEJANDRO",
        "middle_name": "ALBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "1511P-S",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.