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ROOSEVELT DAYMON
NPI 1356949846
Counselor in Las Vegas, NV

Active since October 15, 2020
6600 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89146(702) 588-3425(702) 209-2090 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 27, 2026, Oct 30, 2020, Oct 15, 2020 (3 updates tracked since 2020).

About Roosevelt Daymon NPPES

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

ROOSEVELT DAYMON (NPI 1356949846) is an individual counselor in Las Vegas, Nevada and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1356949846
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameROOSEVELT DAYMON
Location Address6600 W CHARLESTON BLVD STE 130Las Vegas, NV 89146-1067
Mailing Address6600 W Charleston Blvd Ste 130Las Vegas, NV 89146-1067 · (702) 588-3425 · Fax (702) 209-2090
Phone(702) 588-3425
Fax(702) 209-2090
Sole ProprietorNo
Enumeration DateOctober 15, 2020
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1356949846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
6600 W CHARLESTON BLVD STE 130, Las Vegas, NV 89146
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Other Identifiers 2

OtherNV200714597522d Chance Inc.
MedicaidNV20071459752NV

Other Providers at the Same Location NPPES

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

BLOOM AUTISM CENTER
Behavior Analyst
6600 W CHARLESTON BLVD STE 130
LAS VEGAS, NV 89146
Clark County (702) 588-3425

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 Roosevelt Daymon's NPI number?

The NPI number for Roosevelt Daymon is 1356949846. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Roosevelt Daymon located?

Roosevelt Daymon practices at 6600 W Charleston Blvd Ste 130, Las Vegas, NV 89146. The listed phone number is (702) 588-3425.

What is Roosevelt Daymon'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 Roosevelt Daymon was last updated on March 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.