1111 THERAPY & MENTAL HEALTH INSTITUTE NPI 1831863315

NPI Information

NPI: 1831863315
Provider Name: 1111 THERAPY & MENTAL HEALTH INSTITUTE
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1504 BLACKCOMBE ST UNIT 204
LAS VEGAS, NV
ZIP 89128
Phone: (404) 849-9918
Get Directions

1111 THERAPY & MENTAL HEALTH INSTITUTE is a mental health counselor in Las Vegas, NV. 1111 THERAPY & MENTAL HEALTH INSTITUTE NPI is 1831863315. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1504 BLACKCOMBE ST UNIT 204
LAS VEGAS, NV
ZIP 89128-019
Phone: (404) 849-9918

The provider's authorized official is Rodney Bumpers .
The authorized official title is Manager and has the following contact phone number (404) 849-9918.

The enumeration date for this NPI number is 8/6/2021 and was last updated on 8/6/2021.

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	Primary
1	101200000X	Drama Therapist		No
2	221700000X	Art Therapist		No
3	225400000X	Rehabilitation Practitioner		No
4	225600000X	Dance Therapist		No
5	225A00000X	Music Therapist		No
6	101Y00000X	Counselor		No
7	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
8	2084P0015X	Psychiatry & Neurology	Psychosomatic Medicine	No
9	251B00000X	Case Management		No
10	225C00000X	Rehabilitation Counselor		No
11	251S00000X	Community/Behavioral Health		No
12	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
13	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
14	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
15	101YM0800X	Counselor	Mental Health	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	Other Provider Identifier Issuer
1	1245755636	MEDICAID	NEVADA
2	1821367087	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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »