GUSTAVO CANCINO
NPI 1124527551
Peer Specialist in Las Vegas, NV

Active since February 12, 2018
1640 ALTA DR STE 4, LAS VEGAS, NV 89106(702) 474-6450(702) 474-6463 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gustavo Cancino NPPES

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

GUSTAVO CANCINO (NPI 1124527551) is an individual peer specialist in Las Vegas, Nevada and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1124527551
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameGUSTAVO CANCINO
Location Address1640 ALTA DR STE 4Las Vegas, NV 89106-4165
Mailing Address1640 Alta Dr Ste 4Las Vegas, NV 89106-4165 · (702) 474-6450 · Fax (702) 474-6463
Fax(702) 474-6463
Sole ProprietorNo
Enumeration DateFebruary 12, 2018
NPI 1124527551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

1640 ALTA DR STE 4, Las Vegas, NV 89106

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
1640 ALTA DR STE 4
LAS VEGAS, NV 89106
Counselor
1640 ALTA DR STE 4
LAS VEGAS, NV 89106
Peer Specialist
1640 ALTA DR STE 4
LAS VEGAS, NV 89106
Marriage & Family Therapist
1640 ALTA DR STE 4
LAS VEGAS, NV 89106
Counselor (Mental Health)
1640 ALTA DR STE 4
LAS VEGAS, NV 89106
Counselor (Addiction (Substance Use Disorder))
1640 ALTA DR STE 4
LAS VEGAS, NV 89106
Counselor (Addiction (Substance Use Disorder))
1640 ALTA DR STE 4
LAS VEGAS, NV 89106
Counselor (Addiction (Substance Use Disorder))
1640 ALTA DR STE 4
LAS VEGAS, NV 89106

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 Gustavo Cancino's NPI number?

The NPI number for Gustavo Cancino is 1124527551. It was assigned to this individual provider in the NPPES registry on February 12, 2018.

Where is Gustavo Cancino located?

Gustavo Cancino practices at 1640 Alta Dr Ste 4, Las Vegas, NV 89106. The listed phone number is (702) 474-6450.

What is Gustavo Cancino's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Gustavo Cancino was last updated on February 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.