Xen Mental Health LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

XEN MENTAL HEALTH LLC

Practice address

4570 S Eastern Ave # C27
Las Vegas, NV 89119-6183

Phone

(702) 328-6286

NPI assigned

Jan 25, 2023

Organization subpart

No

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

Authorized official

Name

Katie M Shields

Title

Ceo

Phone

(702) 328-6286

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1992411771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10741 NOBLE MESA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665106",
            "telephone_number": "702-328-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 S EASTERN AVE # C27",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196183",
            "telephone_number": "702-328-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XEN MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-328-6286"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lasvegas",
            "affiliation": "N",
            "endpointDescription": "lasvegas",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4570 S Eastern Ave # C27",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891196183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Xa, D.D.S.
• Hai Xa, D.M.D
• Trung Que Xa, D.D.S.
• Andrea R Xavier, MD
• Xecutive Medical
• Anesti Xhurka
• Vasilika Xhurka
• Qin Xia
• Li Guang Xiang
• Jun Yuan Xiao

• Community Health Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.