Peavine Counseling LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PEAVINE COUNSELING LLC

Practice address

480 W Bonanza Rd
Las Vegas, NV 89106-3227

Phone

(775) 560-9623

Fax

(866) 348-2644

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Ulla Yandell, LCSWNPI 1811407877

Title

Managing Member

Phone

(775) 560-9623

Specialties & licenses 2

Addresses

Practitioners 1

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

• Ulla Yandell, LCSW

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1811407877
  NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1972272896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 LAKELAND RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456027",
            "telephone_number": "775-560-9623",
            "fax_number": "866-348-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W BONANZA RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063227",
            "telephone_number": "775-560-9623",
            "fax_number": "866-348-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAVINE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "YANDELL",
        "authorized_official_first_name": "ULLA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "775-560-9623",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ada Pease
• Lester Pease
• Taylor Nicole Pease
• Kayalyne Peason
• Aashleigh Peavie
• Edward Peavler
• Fletcher Peavy, PA-C
• Pebble Creek of Las Vegas, LLC
• Joseph Pecayo, COTA/L
• Brad Lee Peck, DPM

• Substance Abuse Rehabilitation Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Substance Abuse Rehabilitation Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.