Aspire Mental Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6553-C Issued in NV

Legal business name

ASPIRE MENTAL HEALTH LLC

Doing business as

christine michelle formica

Practice address

2980 S Rainbow Blvd
Las Vegas, NV 89146-6531

Phone

(702) 673-7462

Fax

(702) 442-8900

NPI assigned

Jun 3, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Michelle McAninch, LCSW

Title

Owner/Therapist

Phone

(702) 673-7462

Specialties & licenses 1

Addresses

Other names 1

• christine michelle formica Doing business as

Locations

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1912310368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466531",
            "telephone_number": "702-673-7462",
            "fax_number": "702-442-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 S RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466531",
            "telephone_number": "702-673-7462",
            "fax_number": "702-442-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 S Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465628",
            "country_code": "US",
            "telephone_number": "702-673-7462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASPIRE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MCANINCH",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "702-673-7462",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "6553-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "christine michelle formica",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "christine michelle formica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aspire Behavioral Services LLC
• Aspire Behavioral Services LLC
• Aspire Behavioral Services LLC
• Aspire MD PLLC
• Aspire Medical Center LLC
• Aspire Nevada. LLC
• Aspire Wellness and Mental Health PLLC
• Aspire Wellness LLC
• Aspire4Health LLC
• Aspn Pharmacies 4, LLC

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.