Inspiring Minds Behavioral Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NV20161570483 Issued in NV

Legal business name

INSPIRING MINDS BEHAVIORAL SERVICES

Practice address

3621 Kingfishers Catch Ave
North Las Vegas, NV 89084-2347

Phone

(702) 321-8984

NPI assigned

Oct 18, 2016

Organization subpart

No

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

Authorized official

Name

Tracee Thomas

Title

Owner

Phone

(702) 321-8984

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1972054567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 KINGFISHERS CATCH AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 KINGFISHERS CATCH AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842347",
            "telephone_number": "702-321-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRING MINDS BEHAVIORAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TRACEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-321-8984"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20161570483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407165681",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205130838",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104249887",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.