NPIMap

Organization Active NPI

Ignite Teen Treatment LLC

  • Psychiatric Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1932974995
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
IGNITE TEEN TREATMENT LLC
Practice address
7390 Edna Ave
Las Vegas, NV 89117-2902
Phone
(570) 203-9222
Fax
(570) 203-9477
NPI assigned
Nov 20, 2023
Last updated
Nov 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Melissa Marshall
Title
Director of Billing
Phone
(570) 203-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

7390 Edna Ave
Las Vegas, NV 89117-2902

Mailing address

512 Northampton St # 158
Edwardsville, PA 18704-4560
Phone (570) 203-9222

National Provider Directory

National Provider Directory
Tax ID family
Ignite Teen Treatment LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1932974995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NORTHAMPTON ST # 158",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "187044560",
            "telephone_number": "570-203-9222",
            "fax_number": "570-203-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 EDNA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172902",
            "telephone_number": "570-203-9222",
            "fax_number": "570-203-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE TEEN TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "570-203-9222"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Nov 20, 2023; 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.