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CARLOS JAVIER EZETA M.S., ME.D.
NPI 1194163980
Counselor in Las Vegas, NV

Active since June 13, 2013
6312 OBANNON DR, LAS VEGAS, NV 89146(702) 423-3838 Get Directions Write a Review

NPPES record last updated: October 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carlos Javier Ezeta M.s., Me.d. NPPES

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

CARLOS JAVIER EZETA M.S., ME.D. (NPI 1194163980) is an individual counselor in Las Vegas, Nevada and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1194163980
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameCARLOS JAVIER EZETACredential: M.S., ME.D.
Location Address6312 OBANNON DRLas Vegas, NV 89146-3043
Mailing Address6312 Obannon DrLas Vegas, NV 89146-3043 · (702) 423-3838
Phone(702) 423-3838
Sole ProprietorYes
Enumeration DateJune 13, 2013
Last NPPES UpdateOctober 1, 2014
✔ NPI 1194163980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
6312 OBANNON DR, Las Vegas, NV 89146
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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 Carlos Ezeta's NPI number?

The NPI number for Carlos Ezeta is 1194163980. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Carlos Ezeta located?

Carlos Ezeta practices at 6312 Obannon Dr, Las Vegas, NV 89146. The listed phone number is (702) 423-3838.

What is Carlos Ezeta's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Carlos Ezeta was last updated on October 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.