KINGDOM BEHAVIORAL HEALTH, INC
NPI 1114259355
Social Worker - Clinical in Las Vegas, NV

Q: What is Kingdom Behavioral Health, Inc's NPI number?

The NPI number for Kingdom Behavioral Health, Inc is 1114259355. It was assigned to this organization in the NPPES registry on February 11, 2010.

Q: What is Kingdom Behavioral Health, Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since February 11, 2010

4085 N RANCHO DR STE 120, LAS VEGAS, NV 89130(702) 349-8258(702) 543-3124 Get Directions Write a Review

NPPES record last updated: March 22, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kingdom Behavioral Health, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGDOM BEHAVIORAL HEALTH, INC (NPI 1114259355) is a healthcare organization registered as a clinical in Las Vegas, Nevada and active in the NPI registry since February 2010. The organization lists Willie Edward Johnson, Director, as its authorized official.

NPPES Registry Identity

NPI1114259355

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameKINGDOM BEHAVIORAL HEALTH, INC

Location Address4085 N RANCHO DR STE 120Las Vegas, NV 89130-3467

Mailing Address4085 N Rancho Dr Ste 120Las Vegas, NV 89130-3467 · (702) 836-1905 · Fax (702) 836-1904

Phone(702) 349-8258

Fax(702) 543-3124

Organization SubpartNo

Authorized OfficialWillie Edward JohnsonDirector · (702) 349-8258

Enumeration DateFebruary 11, 2010

Last NPPES UpdateMarch 22, 2011

✔ NPI 1114259355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NV · 5530-C

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 5530-C (NV)

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 5530-C (NV)

4085 N RANCHO DR STE 120, Las Vegas, NV 89130

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOMIKALAN JUNE'E WALKER

Rehabilitation Practitioner

4085 N RANCHO DR STE 120
LAS VEGAS, NV 89130

Clark County (562) 326-6235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingdom Behavioral Health, Inc's NPI number?

The NPI number for Kingdom Behavioral Health, Inc is 1114259355. It was assigned to this organization in the NPPES registry on February 11, 2010.

Where is Kingdom Behavioral Health, Inc located?

Kingdom Behavioral Health, Inc is located at 4085 N Rancho Dr Ste 120, Las Vegas, NV 89130. The listed phone number is (702) 349-8258.

What is Kingdom Behavioral Health, Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kingdom Behavioral Health, Inc was last updated on March 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.