FIRST PERSON CARE CLINIC - NPI 1548804529 - Clinic/Center in Las Vegas, NV

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

On this page

About First Person Care Clinic NPPES

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

FIRST PERSON CARE CLINIC (NPI 1548804529) is a healthcare organization registered as a mental health (including community mental health center) in Las Vegas, Nevada and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through June 17, 2027, maintains a secondary practice location in Henderson, and lists Ryan Ellazar Jacob, Compliance Director, as its authorized official.

NPPES Registry Identity

NPI1548804529

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameFIRST PERSON CARE CLINIC

Location Address1200 S 4TH ST STE 111Las Vegas, NV 89104-1046

Mailing Address1200 S 4th St Ste 111Las Vegas, NV 89104-1046 · (702) 380-8118 · Fax (702) 380-2929

Phone(702) 380-8118

Fax(702) 380-2929

Organization SubpartNo

Authorized OfficialRyan Ellazar JacobCompliance Director · (702) 380-8118

Enumeration DateNovember 1, 2019

✔ NPI 1548804529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedCounselorTaxonomy 101Y00000X

1200 S 4TH ST STE 111, Las Vegas, NV 89104

Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 E Horizon Dr Ste AHenderson, NV 89015-8031 · Phone (702) 380-8118 · Fax (702) 380-2929

Other Identifiers 2

Medicaid1548629132NV

Medicaid1710499264NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2325722

First Person Care Clinic · Las Vegas, NV

Active · expires Jun 17, 2027

CLIA Number29D2325722

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateJune 18, 2025

Certificate Expiration DateJune 17, 2027

Laboratory DirectorArlene Rillo

Laboratory Phone(702) 380-8118

Laboratory LocationFirst Person Care Clinic5412 Boulder Hwy Suite #b, Las Vegas, NV 89122

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

IVONNE DRAUGHON DNP

Nurse Practitioner