NPIMap

Organization Active NPI

Jean Fajardo Associates LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1982996534
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
20111195118 Issued in NV
Legal business name
JEAN FAJARDO ASSOCIATES LLC
Practice address
7465 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-1033
Phone
(702) 343-3459
Fax
(702) 343-3459
NPI assigned
May 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Jean Paula Fajardo, LCSW
Title
Owner/Manager
Phone
(702) 343-3459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 20111195118 NV Primary

Addresses

Primary practice location

7465 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-1033

Mailing address

7465 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-1033
Phone (702) 343-3459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1982996534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7465 W LAKE MEAD BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281033",
            "telephone_number": "702-343-3459",
            "fax_number": "702-343-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7465 W LAKE MEAD BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281033",
            "telephone_number": "702-343-3459",
            "fax_number": "702-343-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN FAJARDO ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "FAJARDO",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "PAULA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "702-343-3459",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "20111195118",
            "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 May 13, 2011; 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.