Organization Active NPI

Kei Therapy LLC

  • Clinical Social Worker
  • North Las Vegas, NV
National Provider Identifier
1952065872
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KEI THERAPY LLC
Practice address
5135 Camino Al Norte Ste 276
North Las Vegas, NV 89031-2420
Phone
(708) 856-1092
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Cheronda Pinkard, LCSWNPI 1558772202
Title
Clinical Social Worker/Provider
Phone
(708) 856-1092

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5135 Camino Al Norte Ste 276
North Las Vegas, NV 89031-2420

Mailing address

5135 Camino Al Norte Ste 276
North Las Vegas, NV 89031-2420
Phone (708) 856-1092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211209001300 NV Part B Supplier - Clinic/Group Practice 7911397765 Receives reassigned benefits from 1 practitioner
Practice locations: North Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5135 Camino Al Norte
Ste 276
North Las Vegas, NV 89031
Phone (708) 856-1092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1952065872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 276",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312420",
            "telephone_number": "708-856-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5135 CAMINO AL NORTE STE 276",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312420",
            "telephone_number": "708-856-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEI THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "PINKARD",
        "authorized_official_first_name": "CHERONDA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/PROVIDER",
        "authorized_official_telephone_number": "708-856-1092",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.