Organization Active NPI

Essential Behavior & Skills

  • Counselor
  • Las Vegas, NV
National Provider Identifier
1932466463
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ESSENTIAL BEHAVIOR & SKILLS
Practice address
5615 Cameron St
Ste 7
Las Vegas, NV 89118-2233
Phone
(702) 883-0722
NPI assigned
Apr 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Vanessa B. Becerra-Bautista
Title
Director
Phone
(702) 883-0722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

5615 Cameron St
Ste 7
Las Vegas, NV 89118-2233

Mailing address

5615 Cameron St
Ste 7
Las Vegas, NV 89118-2233
Phone (702) 883-0722

Other identifiers 1

IdentifierTypeStateIssuer
1720385222MedicaidNV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1932466463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 CAMERON ST",
            "address_2": "STE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182233",
            "telephone_number": "702-883-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 CAMERON ST",
            "address_2": "STE 7",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891182233",
            "telephone_number": "702-883-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL BEHAVIOR & SKILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "BECERRA-BAUTISTA",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-883-0722"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720385222",
            "state": "NV"
        }
    ],
    "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 Sep 21, 2012; 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.