Individual provider Active NPI

Camilo Suarez Sotomayor

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1972214278
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4405 La Reina Cir
Las Vegas, NV 89130-5101
Phone
(702) 931-0735
NPI assigned
Dec 7, 2022
Last updated
Dec 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NV Primary

Addresses

Primary practice location

4405 La Reina Cir
Las Vegas, NV 89130-5101

Mailing address

4405 La Reina Cir
Las Vegas, NV 89130-5101
Phone (702) 931-0735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1972214278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 LA REINA CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305101",
            "telephone_number": "702-931-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 LA REINA CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305101",
            "telephone_number": "702-931-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ SOTOMAYOR",
        "first_name": "CAMILO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "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 Dec 7, 2022; 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.