1111 THERAPY & MENTAL HEALTH INSTITUTE NPI 1831863315

NPI Information

  • NPI: 1831863315
  • Provider Name: 1111 THERAPY & MENTAL HEALTH INSTITUTE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1504 BLACKCOMBE ST UNIT 204
    LAS VEGAS, NV
    ZIP 89128
  • Phone: (404) 849-9918

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NPI Details

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 License Number License State Primary
1101200000XDrama TherapistNo
2221700000XArt TherapistNo
3225400000XRehabilitation PractitionerNo
4225600000XDance TherapistNo
5225A00000XMusic TherapistNo
6101Y00000XCounselorNo
7101YA0400XCounselorAddiction (Substance Use Disorder)No
82084P0015XPsychiatry & NeurologyPsychosomatic MedicineNo
9251B00000XCase ManagementNo
10225C00000XRehabilitation CounselorNo
11251S00000XCommunity/Behavioral HealthNo
123104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesNo
13320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
14320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
15101YM0800XCounselorMental HealthYes

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
11245755636MEDICAIDNEVADA
21821367087MEDICAIDNEVADA

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: 3/30/2025

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