Active NPI
Marshall Mental Health, LLC
- Adult Mental Health Clinic/Center
- Las Vegas, NV
National Provider Identifier
1932926763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- MARSHALL MENTAL HEALTH, LLC
- Practice address
- 2840 E Flamingo Rd Ste a
Las Vegas, NV 89121-5201 - Phone
- (702) 217-5639
- Fax
- (702) 514-6249
- NPI assigned
- Sep 23, 2024
- Last updated
- Sep 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jody L. Marshall, MS, LCPC, LCADC-S
- Title
- Director
- Phone
- (702) 217-5639
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
2840 E Flamingo Rd Ste a
Las Vegas, NV 89121-5201
Mailing address
6161 Shelter Creek Ave
Las Vegas, NV 89110-3925
Phone (702) 217-5639
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Mental Health Counselor
- Las Vegas, NV
- NPI 1629385604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1932926763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6161 SHELTER CREEK AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891103925",
"telephone_number": "702-217-5639",
"fax_number": "702-514-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 E FLAMINGO RD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215201",
"telephone_number": "702-217-5639",
"fax_number": "702-514-6249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARSHALL MENTAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-23",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "702-217-5639",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, LCPC, LCADC-S"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.