Active NPI
Provost Body & Mind, PLLC
- Clinical Social Worker
- Henderson, NV
National Provider Identifier
1972415313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- PROVOST BODY & MIND, PLLC
- Practice address
- 650 Whitney Ranch Dr Apt 1811
Henderson, NV 89014-2616 - Phone
- (702) 661-6424
- NPI assigned
- Sep 21, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- Yes
- Parent organization
- THE HIVE COLLECTIVE, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katelin M Provost, LCSW
- Title
- Ceo
- Phone
- (775) 420-2226
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
650 Whitney Ranch Dr Apt 1811
Henderson, NV 89014-2616
Mailing address
650 Whitney Ranch Dr Apt 1811
Henderson, NV 89014-2616
Phone (702) 661-6424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1972415313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 WHITNEY RANCH DR APT 1811",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142616",
"telephone_number": "702-661-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 WHITNEY RANCH DR APT 1811",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142616",
"telephone_number": "702-661-6424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVOST BODY & MIND, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THE HIVE COLLECTIVE, LLC",
"enumeration_date": "2026-09-21",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "PROVOST",
"authorized_official_first_name": "KATELIN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "775-420-2226",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.