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COMMUNITY COUNSELING CENTER NPI 1609920784


NPI Information

NPI: 1609920784
Provider Name: COMMUNITY COUNSELING CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
714 E SAHARA AVE
LAS VEGAS, NV
ZIP 89104
Phone: (702) 369-8700
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COMMUNITY COUNSELING CENTER is a community behavioral health in Las Vegas, NV. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY COUNSELING CENTER NPI is 1609920784. The provider is registered as an organization entity type.

The provider's business location address is:

714 E SAHARA AVE
LAS VEGAS, NV
ZIP 89104-942
Phone: (702) 369-8700
Fax: (702) 369-8489

The provider's authorized official is Theresa A Lucero .
The authorized official title is Billing Manager and has the following contact phone number (702) 369-8700.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNEVADAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100504583MEDICAIDNEVADA
2100508255MEDICAIDNEVADA
3100508254MEDICAIDNEVADA
4100509188MEDICAIDNEVADA
5100508257MEDICAIDNEVADA
6100508258MEDICAIDNEVADA
7100509187MEDICAIDNEVADA

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

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