Hernoria Pal Lea Childress-Smith

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4408 Issued in NV

Practice address

7013 Fossil Rim St
North Las Vegas, NV 89084-4028

Phone

(702) 573-9715

NPI assigned

Apr 28, 2011

Last updated

Mar 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

State of NevadaGroup PAC ID 9234022153, 57 clinicians

Firstmed Health and Wellness Center IncGroup PAC ID 7416126362, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• State of Nevada

  dba Ely Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ely, NV
  • NPI 1760572010
  Medicare reassignment Care Compare group NPD
• Empowering Generations, LLC

  • Marriage & Family Therapist
  • N Las Vegas, NV
  • NPI 1780332098
  NPD Authorized official
• Evolve Counseling and Learning Enrichment Center, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1225807498
  NPD Authorized official
• Firstmed Health and Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Las Vegas, NV
  • NPI 1396054169
  Care Compare group
• State of Nevada

  • Skilled Nursing Facility
  • Boulder City, NV
  • NPI 1083612741
  NPD
• State of Nevada

  dba Douglas Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gardnerville, NV
  • NPI 1972684355
  NPD
• Next Generation Family Support Services

  • Community/Behavioral Health Agency
  • N Las Vegas, NV
  • NPI 1922432145
  NPD (past)
• State of Nevada

  dba Winnemucca Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winnemucca, NV
  • NPI 1275623530
  NPD (past)
• State of Nevada

  dba Silver Springs Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Springs, NV
  • NPI 1811079742
  NPD (past)

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1922399674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 ONA MARIE AVE",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890324867",
            "telephone_number": "702-279-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 FOSSIL RIM ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890844028",
            "telephone_number": "702-573-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDRESS-SMITH",
        "first_name": "HERNORIA",
        "middle_name": "PAL LEA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyunseok Charlie CHI, DDS, DMD
• Adrian Mark Chia
• Ginger Yin Chiang, M.D.
• Geoffrey F. Chiara, O.D.
• Children and Adolescents Mentoring Services,LLC
• Jasmyne Adriana Childress
• Yona T Childress
• Dorothy Childs
• Marlo Childs
• Megan Chiongson

• Marriage & Family Therapist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.