Individual provider Active NPI

Marvin Arevalo, M.S.

  • Case Manager/Care Coordinator
  • Henderson, NV
National Provider Identifier
1982901740
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1070 W Horizon Ridge Pkwy Ste 210
Henderson, NV 89012-6020
Phone
(702) 970-3535
Fax
(702) 441-0915
NPI assigned
Feb 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1070 W Horizon Ridge Pkwy Ste 210
Henderson, NV 89012-6020

Mailing address

1070 W Horizon Ridge Pkwy Ste 210
Henderson, NV 89012-6020
Phone (702) 970-3535

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Arevalo Counseling & Mentoring, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Community Research Foundation Inc Past Accepting new patients

Locations

2520 Saint Rose Pkwy
Ste 209
Henderson, NV 89074
Phone (702) 475-1649

1070 W Horizon Ridge Pkwy
Ste 210
Henderson, NV 89012
Phone (702) 405-0904

6268 S Rainbow Blvd
Ste 110
Las Vegas, NV 89118
Phone (702) 496-1135

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1982901740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126020",
            "telephone_number": "702-970-3535",
            "fax_number": "702-441-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 W HORIZON RIDGE PKWY STE 210",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890126020",
            "telephone_number": "702-970-3535",
            "fax_number": "702-441-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "MARVIN",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "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 Jul 17, 2024; 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.