JEREMIAH MITCHELL NPI 1366867657

NPI Information

NPI: 1366867657
Provider Name: JEREMIAH MITCHELL
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
8001 KENTSHIRE DR
LAS VEGAS, NV
ZIP 89117
Phone: (213) 640-7174
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Jeremiah Mitchell is a mental health counselor in Las Vegas, NV. Jeremiah Mitchell NPI is 1366867657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8001 KENTSHIRE DR
LAS VEGAS, NV
ZIP 89117-927
Phone: (213) 640-7174

The enumeration date for this NPI number is 2/24/2014 and was last updated on 2/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172V00000X	Community Health Worker		2600020087	NEVADA	No
2	101YM0800X	Counselor	Mental Health	2600020087	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1023	MEDICAID	NEVADA
2	1129	MEDICAID	NEVADA
3	0101	MEDICAID	NEVADA
4	1017	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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