Kingdom Behavioral Health, INC
Social Worker, Clinical in Las Vegas, NV. Organization (NPI-2).
Details
- NPI
- 1114259355
- Entity type
- Organization (NPI-2)
- Legal business name
- Kingdom Behavioral Health, INC
- Organization subpart
- No
- Enumeration date
- Feb 11, 2010
- Last updated
- Mar 22, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 5530-C | NV | Yes |
| 104100000X | Social Worker | 5530-C | NV | |
| 251S00000X | Community/Behavioral Health | 5530-C | NV |
Practice location
4085 N Rancho Dr Ste 120Las Vegas, NV 89130-3467
Phone 702-349-8258 · Fax 702-543-3124
Mailing address
4085 N Rancho Dr Ste 120Las Vegas, NV 89130-3467
Phone 702-836-1905 · Fax 702-836-1904
Authorized official
Willie Edward Johnson
Director
7023498258
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinical Social Worker providers in Las Vegas, NV
- 58 10 Behavioral Health Services PLLCNPI 1780217679
- A New View Counseling INC Mary Pauline Hildreth Lcsw A Pro. Corp.NPI 1427387208
- A.C.T. Counseling CenterNPI 1154607729
- Rachelle Abbott, MSW-INTERNNPI 1871287730
- Abc Behavioral Health LLCNPI 1760310981
- Maria Michelle Abdo, LCSWNPI 1306265202
- Sandra Lynn Abdullah, LCSWNPI 1265524649
- John Abdullah-Hasan, LCSWNPI 1558527721
- David Abrams, LCSWNPI 1881765428
- Anne Marie Abruscato, LCSWNPI 1386694537
All 1,227 Clinical Social Worker providers in Las Vegas · All 80,918 providers in Las Vegas
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.